Active NPI
Renee Rochelle Wuensch, COTA
- Occupational Therapy Assistant
- Milwaukee, WI
National Provider Identifier
1487922613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1760-27
- Practice address
- 2448 S 102ND St
Suite 250
Milwaukee, WI 53227-2466 - Phone
- (800) 877-7018
- Fax
- (414) 350-4260
- NPI assigned
- Dec 2, 2011
- 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 Therapy Assistant | 224Z00000X | 1760-27 | WI | Primary |
Addresses
Primary practice location
2448 S 102ND St
Suite 250
Milwaukee, WI 53227-2466
Mailing address
503 Eagle Ave
Rockland, WI 54653-9709
Phone (608) 486-4434
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 |
|---|---|---|---|
| 1760-27 | WI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1487922613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 EAGLE AVE",
"city": "ROCKLAND",
"state": "WI",
"postal_code": "546539709",
"telephone_number": "608-486-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 S 102ND ST",
"address_2": "SUITE 250",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532272466",
"telephone_number": "800-877-7018",
"fax_number": "414-350-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUENSCH",
"first_name": "RENEE",
"middle_name": "ROCHELLE",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "1760-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.