Michelle L Sislo, COTA
Individual provider Active NPI Occupational Therapy Assistant · Colby, WI
NPI 1659498285 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1659498285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1038-27 (WI)
- Practice address
- 702 W Dolf St
Colby, WI 54421-9604 - Phone
- (715) 223-2352
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 1038-27 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Wausau LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1038-27 | WI | Yes |
Addresses
Primary practice location
702 W Dolf St
Colby, WI 54421-9604
Mailing address
N2092 Gibson Dr
Medford, WI 54451-9561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40756900 | Medicaid | WI |
Other providers in Colby, WI
- Marlene Robinson-Bednar
- Cristen Bond Schaefer
- School District of Colby
- Michelle Rose Schwarting
- India M. Sillampa
- Courtney Ann Smith
- Lindsey Rae Theis
- Julie Turchi
- Milton J Viergutz
- Heather Vogel
All providers in Colby, 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 Oct 11, 2012. 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.