Active NPI
Theresa Parry, OTR, CHT, COMT
- Occupational Therapist
- Appleton, WI
National Provider Identifier
1659614923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5321-26
- Practice address
- 2323 N Casaloma Dr
Appleton, WI 54913 - Phone
- (920) 730-8833
- Fax
- (920) 993-0726
- NPI assigned
- Apr 4, 2013
- 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 | 5321-26 | WI | Primary |
Addresses
Primary practice location
2323 N Casaloma Dr
Appleton, WI 54913
Mailing address
2323 N Casaloma Dr
Appleton, WI 54913-8284
Phone (920) 730-8833
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1659614923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 N CASALOMA DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138284",
"telephone_number": "920-730-8833",
"fax_number": "380-993-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N CASALOMA DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "54913",
"telephone_number": "920-730-8833",
"fax_number": "920-993-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRY",
"first_name": "THERESA",
"credential": "OTR, CHT, COMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5321-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.