Organization Active NPI

Occupro, LLC

  • Occupational Therapist
  • Kenosha, WI
National Provider Identifier
1609245158
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OCCUPRO, LLC
Practice address
3921 30TH Ave
Kenosha, WI 53144-1957
Phone
(866) 470-4440
Fax
(866) 520-5557
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Mr. James Mecham, MSIE, OTR/L, CPENPI 1992730386
Title
Senior Vice President of Sales/Owne
Phone
(866) 470-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3921 30TH Ave
Kenosha, WI 53144-1957

Mailing address

3921 30TH Ave
Kenosha, WI 53144-1957
Phone (866) 470-4440

National Provider Directory

National Provider Directory

Locations

3921 30th Ave
Kenosha, WI 53144
Phone (866) 470-4440

3921 30th Ave
Ste A
Kenosha, WI 53144
Phone (262) 925-0311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1609245158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441957",
            "telephone_number": "866-470-4440",
            "fax_number": "866-520-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441957",
            "telephone_number": "866-470-4440",
            "fax_number": "866-520-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "MECHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF SALES/OWNE",
        "authorized_official_telephone_number": "866-470-4440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSIE, OTR/L, CPE"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.