Active NPI
Annette M Numrich, OTR-L
- Occupational Therapist
- Eagle River, WI
National Provider Identifier
1487946752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 477-26
- Practice address
- 1967 Otter LN
Eagle River, WI 54521-8817 - Phone
- (715) 891-6582
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 477-26 | WI | Primary |
Addresses
Primary practice location
1967 Otter LN
Eagle River, WI 54521-8817
Mailing address
1967 Otter Lane
Eagle River, WI 54521
Phone (715) 891-6582
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 |
|---|---|---|---|
| 477-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1487946752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 OTTER LANE",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "54521",
"telephone_number": "715-891-6582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1967 OTTER LN",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545218817",
"telephone_number": "715-891-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUMRICH",
"first_name": "ANNETTE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "OTR-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "477-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, WI
- Northland Hearing Centers, Inc.
- Northland Pines School District
- Northwest Counseling & Guidance Clinic, Inc.
- Northwoods Dental Sleep Therapy Inc
- Nova Integrated Care LLC
- David William Peterson, RPH
- Jenna M Peterson, DPT
- Rebecca E Pflughoeft, NP
- Potrykus Family Dentistry LLC
- Ashley Marie Potrykus, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.