Active NPI
Becky M Fenn, OT
- Occupational Therapist
- Monroe, WI
National Provider Identifier
1487677365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4442
- Practice address
- 515 22ND Ave
Monroe, WI 53566 - Phone
- (608) 324-2000
- NPI assigned
- Jul 25, 2006
- Last updated
- Dec 6, 2013
- 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 | 4442 | WI | Primary |
Addresses
Primary practice location
515 22ND Ave
Monroe, WI 53566
Mailing address
515 22ND Ave
Monroe, WI 53566
Phone (608) 324-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209273 | Other | NBCOT CERT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4442 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| Southwest Health Center, Inc | Current | Accepting new patients |
Locations
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
-
dba Southwest Health Cuba City Clinic
- Rural Health Clinic/Center
- Cuba City, WI
- NPI 1316324429
-
- Psychiatric Hospital Unit
- Platteville, WI
- NPI 1548345150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1487677365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "53566",
"telephone_number": "608-324-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "53566",
"telephone_number": "608-324-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENN",
"first_name": "BECKY",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT CERT",
"identifier": "209273",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WI
- Terry R Faith, M.S. CCC-SLP
- Stephanie A. Falligant, CRNA
- Family Chiropractic Clinic of Monroe,S.C.
- Sharon M Farrey, LCSW
- Michelle S. Faull, DO
- Shawn Patrick Ferguson, RPH
- Alicia Ann Fishlock, MSW, CAPSW, CSAC
- FMG 26TH Avenue Wisconsin LLC (Monroe Manor Nursing & Rehabilitation)
- Meredith Nicole Foley, OTR/L
- Jaclyn M Foltz, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.