Individual provider Active NPI

Thomas Robert Miller-Bishoff, MS, OT

  • Occupational Therapist
  • Fitchburg, WI
National Provider Identifier
1497144893
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5630-026 Issued in WI
Practice address
2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498
Phone
(608) 819-6394
Fax
(608) 204-6183
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5630-026 WI Primary

Addresses

Primary practice location

2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498

Mailing address

2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498
Phone (608) 819-6394

Other names 1

  • Thomas Robert Bishoff Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5630-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Innovations, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1497144893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 S FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116498",
            "telephone_number": "608-819-6394",
            "fax_number": "608-204-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 S FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116498",
            "telephone_number": "608-819-6394",
            "fax_number": "608-204-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-BISHOFF",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "credential": "MS, OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5630-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "BISHOFF",
            "middle_name": "ROBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.