Individual provider Active NPI

Julia Mary Loebertman

  • Occupational Therapy Assistant
  • Madison, WI
National Provider Identifier
1629582200
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
544827 Issued in WI
Practice address
1044 N High Point Rd Apt 202
Madison, WI 53717-2814
Phone
(715) 846-5366
NPI assigned
Nov 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X 544827 WI Primary

Addresses

Primary practice location

1044 N High Point Rd Apt 202
Madison, WI 53717-2814

Mailing address

1044 N High Point Rd Apt 202
Madison, WI 53717-2814
Phone (171) 584-6536

Other practice location 1

4849 Sheboygan Ave
Madison, WI 53705-2970
Phone (715) 846-5366

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
544827WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1629582200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N HIGH POINT RD APT 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172814",
            "telephone_number": "171-584-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N HIGH POINT RD APT 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172814",
            "telephone_number": "715-846-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4849 Sheboygan Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537052970",
            "country_code": "US",
            "telephone_number": "715-846-5366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEBERTMAN",
        "first_name": "JULIA",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "544827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.