Active NPI
Colleen Clarice Ruebsamen, OTR, CHT
- Occupational Therapist
- Viroqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3932-26
- Practice address
- 507 S Main St
Viroqua, WI 54665-2059 - Phone
- (608) 637-2101
- NPI assigned
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3932-26 | WI | Primary |
Addresses
Primary practice location
507 S Main St
Viroqua, WI 54665-2059
Mailing address
S7071 Aikins Rd
Readstown, WI 54652-8046
Phone (608) 637-4385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10320 75TH St
Suite D
Kenosha, WI 53142-7525
Phone (800) 974-4378
417 E Il Route 173
Unit 101
Antioch, IL 60002-9407
Phone (800) 974-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3932-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings, LLC | Current | Accepting new patients |
Locations
417 E Il Route 173
Unit 101
Antioch, IL 60002
24014 W Renwick Rd
Ste F
Plainfield, IL 60544
Phone (815) 577-2488
1054 Milwaukee Ave
Ste 100
Burlington, WI 53105
1054 Milwaukee Ave
Ste 200
Burlington, WI 53105
Phone 8009744378 ext. 1829
10320 75th St
Ste D
Kenosha, WI 53142
Phone (262) 909-2820
3825 39th Ave
Ste 110
Kenosha, WI 53144
Phone (262) 605-6810
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Doctors of Physical Therapy
- Physical Therapist
- Plainfield, IL
- NPI 1689648602
WI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1467840694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S7071 AIKINS RD",
"city": "READSTOWN",
"state": "WI",
"postal_code": "546528046",
"telephone_number": "608-637-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652059",
"telephone_number": "608-637-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEBSAMEN",
"first_name": "COLLEEN",
"middle_name": "CLARICE",
"name_prefix": "Ms.",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3932-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.