Active NPI
Sondra Lynn Schulz, COTA.
- Occupational Therapy Assistant
- Glendale, WI
National Provider Identifier
1669913083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5342-27
- Practice address
- 7545 N. Port Washington Rd.
Glendale, WI 53217 - Phone
- (414) 797-2254
- NPI assigned
- Mar 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 5342-27 | WI | Primary |
Addresses
Primary practice location
7545 N. Port Washington Rd.
Glendale, WI 53217
Mailing address
4524 Olive STR.
Racine, WI 53405-3938
Phone (262) 498-4356
Other names 1
- Ms. Sondra Lynn Rosenberg
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5342-27 | WI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1669913083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4524 OLIVE STR.",
"city": "RACINE",
"state": "WI",
"postal_code": "534053938",
"telephone_number": "262-498-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 N. PORT WASHINGTON RD.",
"city": "GLENDALE",
"state": "WI",
"postal_code": "53217",
"telephone_number": "414-797-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "SONDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "COTA.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "5342-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONDRA",
"last_name": "ROSENBERG",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "COTA.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.