Marie A Joncas, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2554026 Issued in WI

Practice address

4065 N 35TH St
Milw, WI 53216

Phone

(414) 445-9180

Fax

(414) 445-5995

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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.

• Bell Therapy, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Milwaukee, WI
  • NPI 1205987187
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508974668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 N 35TH ST",
            "city": "MILW",
            "state": "WI",
            "postal_code": "53216",
            "telephone_number": "414-445-9180",
            "fax_number": "414-445-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 N 35TH ST",
            "city": "MILW",
            "state": "WI",
            "postal_code": "53216",
            "telephone_number": "414-445-9180",
            "fax_number": "414-445-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONCAS",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2554026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40773000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary L Bush
• Doreen L. Hernandez, LPN

• All providers in Milw, WI
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.