Individual provider Active NPI

Cindi Svoboda, COTA

  • Occupational Therapy Assistant
  • Pleasant Prairie, WI
National Provider Identifier
1649446709
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
903-027 Issued in WI
Practice address
10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947
Phone
(262) 612-2856
Fax
(262) 612-2893
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 903-027 WI Primary

Addresses

Primary practice location

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947

Mailing address

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947
Phone (262) 612-2855

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
903-027WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1649446709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 PRAIRIE RIDGE BLVD",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581947",
            "telephone_number": "262-612-2855",
            "fax_number": "262-612-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 PRAIRIE RIDGE BLVD",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581947",
            "telephone_number": "262-612-2856",
            "fax_number": "262-612-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "CINDI",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "903-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.