Carolyn Haney, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5662 Issued in WI

Practice address

677 E State St
Burlington, WI 53105-1639

Phone

(262) 763-9531

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1609400845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 W WAHNER AVE",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233041",
            "telephone_number": "414-460-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E STATE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051639",
            "telephone_number": "262-763-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "CAROLYN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hahn
• Nicole Marie Haines, DR.
• Cynthia A Hamala, LICENSED PROFESSIONA
• Jill A Hammersley, M.D.
• Nicole E Hammes, MD
• James E. Hansen, M.S. CCC-A/SLP
• Paige Marsin-Kostishak Hansen, PA-C, MPH
• Jessica Lynn Hardy, APSW
• Amanda Jo Hartman, MSOTR
• Paul P Heideman, M.D.

• Occupational Therapy Assistant in Burlington, WI
• Providers in Burlington, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.