Individual provider Active NPI

Hanh Vogds, COTA

  • Occupational Therapy Assistant
  • Fond Du Lac, WI
National Provider Identifier
1659733889
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5182-27 Issued in WI
Practice address
115 E Arndt St
Fond Du Lac, WI 54935-2461
Phone
(920) 923-7040
NPI assigned
Mar 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 5182-27 WI Primary

Addresses

Primary practice location

115 E Arndt St
Fond Du Lac, WI 54935-2461

Mailing address

N5994 Hideaway CT
Fond Du Lac, WI 54937-5018
Phone (920) 279-3712

Other practice location 1

N8114 County Road Ww
Mount Calvary, WI 53057-9525
Phone (920) 753-3211

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
5182-27WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1659733889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5994 HIDEAWAY CT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549375018",
            "telephone_number": "920-279-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E ARNDT ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352461",
            "telephone_number": "920-923-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N8114 County Road Ww",
            "address_purpose": "LOCATION",
            "city": "Mount Calvary",
            "state": "WI",
            "postal_code": "530579525",
            "country_code": "US",
            "telephone_number": "920-753-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGDS",
        "first_name": "HANH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5182-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.