Tina Spannan, OTR

Individual provider Active NPI Occupational Therapist · Chili, WI

NPI 1629288170 · NPPES record last updated May 29, 2026

Key facts

NPI
1629288170
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1834-026 (WI)
Practice address
W2292 County Highway H
Chili, WI 54420
Phone
(715) 486-6307
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1834-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colby School District Past Accepting new patients
Cesa 10 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1834-026 WI Yes

Addresses

Primary practice location

W2292 County Highway H
Chili, WI 54420

Mailing address

W2292 County Highway H
Chili, WI 54420

Other identifiers

IdentifierTypeStateIssuer
40764300MedicaidWI

Other names

  • Tina M Spannan Former name

Other providers in Chili, WI

All providers in Chili, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.