Amy R Beaver, COTA
Individual provider Active NPI Occupational Therapy Assistant · Hudson, WI
NPI 1609313154 · NPPES record last updated Jan 23, 2017
Key facts
- NPI
- 1609313154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5333-27 (WI)
- Practice address
- 768 Aldro Rd
Hudson, WI 54016-7825 - Phone
- (715) 781-7189
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202198 | MN | MD | Occupational Therapy Assistant |
| 5333-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5333-27 | WI | Yes |
| Occupational Therapy Assistant | 224Z00000X | 202198 | MN |
Addresses
Primary practice location
768 Aldro Rd
Hudson, WI 54016-7825
Mailing address
768 Aldro Rd
Hudson, WI 54016-7825
Phone (715) 781-7189
Other providers in Hudson, WI
- Brian Bartlett
- Shannon Elizabeth Bartlett
- Cynthia J Bast
- Lynsey Batenhorst
- Travis Beauchamp
- Angela Kristine Beck
- Stephanie Jordan Becker
- Bee Healthy Chiropractic
- Laura Beeson
- Andrea Dawn Beitler
All providers in Hudson, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.