Active NPI
Stephanie Sauer, OTR
- Occupational Therapist
- Fitchburg, WI
National Provider Identifier
1487889762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3880-026
- Practice address
- 2875 Fish Hatchery Rd
Fitchburg, WI 53713-3114 - Phone
- (608) 204-6244
- Fax
- (608) 204-6249
- NPI assigned
- May 15, 2009
- 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 | 3880-026 | WI | Primary |
Addresses
Primary practice location
2875 Fish Hatchery Rd
Fitchburg, WI 53713-3114
Mailing address
2875 Fish Hatchery Rd
Fitchburg, WI 53713-3114
Phone (608) 204-6244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487843074 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3880-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1487889762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 FISH HATCHERY RD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537133114",
"telephone_number": "608-204-6244",
"fax_number": "608-204-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 FISH HATCHERY RD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537133114",
"telephone_number": "608-204-6244",
"fax_number": "608-204-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUER",
"first_name": "STEPHANIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3880-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487843074",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.