Active NPI
Haley Ann Rought, MSOT, OTR/L
- Occupational Therapist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.014088
- Practice address
- 17280 W North Ave
Brookfield, WI 53045-4366 - Phone
- (262) 780-0707
- NPI assigned
- Mar 9, 2021
- Last updated
- Apr 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7300 | WI | |
| Occupational Therapist | 225X00000X | 056.014088 | IL | Primary |
Addresses
Primary practice location
17280 W North Ave
Brookfield, WI 53045-4366
Mailing address
864 Campton Dr
Rockford, IL 61102-1058
Phone (815) 209-7004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220613002705 | WI | Practitioner - Occupational Therapist in Private Practice | 3971982471 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7300 | WI | MD | Clinical Social Worker |
| 056.014088 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients |
Locations
17280 W North Ave
Brookfield, WI 53045
Phone (262) 780-0707
17280 W North Ave
Ste 104
Brookfield, WI 53045
Phone (262) 780-0707
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
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.
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- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1568057784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 CAMPTON DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611021058",
"telephone_number": "815-209-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17280 W NORTH AVE",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454366",
"telephone_number": "262-780-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUGHT",
"first_name": "HALEY",
"middle_name": "ANN",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "7300",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.014088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
- Brittany Rosenlund
- Keren Jill Rosner, M.D.
- Michael Paul Rospenda, LCSW, SAC
- Ashley Ross, LPC
- Cheryl Lynn Rossebo, PTA
- Roundys Supermarkets Inc (Pick N Save Pharmacy)
- Roundys Supermarkets Inc (Pick N Save Pharmacy)
- Roundys Supermarkets Inc (Metro Market Pharmacy)
- Roundys Supermarkets Inc (Pick N Save Pharmacy)
- Linda P. Rounseville, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.