Cathy L Coghlan, OTR/L

Individual provider Active NPI Occupational Therapist · Roberts, WI

NPI 1508941519 · NPPES record last updated Jul 14, 2010

Key facts

NPI
1508941519
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
102261 (MN)
Practice address
204 W Warren St
Roberts, WI 54023-9617
Phone
(715) 749-3890
Fax
(715) 749-4081
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
102261MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nan Reinhardt, Otr/L & Assoc, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 102261 MN Yes

Addresses

Primary practice location

204 W Warren St
Roberts, WI 54023-9617

Mailing address

204 W Warren St
PO Box 220
Roberts, WI 54023-9617
Phone (715) 749-3890

Other identifiers

IdentifierTypeStateIssuer
083H8COOtherMNBCBS
64-01215OtherMNMEDICA
HP57053OtherMNHEALTHPARTNERS

Other providers in Roberts, WI

All providers in Roberts, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.