Active NPI
Deanna Mueller, OTR
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1659502656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2668-026
- Practice address
- 1300 N Prospect Ave Apt 420
Milwaukee, WI 53202-3049 - Phone
- (262) 671-1149
- NPI assigned
- Aug 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2668-026 | WI | Primary |
Addresses
Primary practice location
1300 N Prospect Ave Apt 420
Milwaukee, WI 53202-3049
Mailing address
1300 N Prospect Ave Apt 420
Milwaukee, WI 53202-3049
Phone (262) 617-1149
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009698 | Other | MD | NATIONAL BOARD FOR CERTIFICATION IN OT |
| 40780100 | Medicaid | WI | |
| 2668-026 | Other | WI | WI OT LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2668-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1659502656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N PROSPECT AVE APT 420",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023049",
"telephone_number": "262-617-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N PROSPECT AVE APT 420",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023049",
"telephone_number": "262-671-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "DEANNA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2668-026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OT",
"identifier": "1009698",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40780100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI OT LICENSE",
"identifier": "2668-026",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.