Brooke Ott

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5274-27 Issued in WI

Practice address

507 S Monroe St
Lancaster, WI 53813-2054

Phone

(608) 723-3236

NPI assigned

Aug 24, 2018

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1699256925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132054",
            "telephone_number": "608-723-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "WI",
            "postal_code": "538139306",
            "country_code": "US",
            "telephone_number": "608-723-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTT",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5274-27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MNIBO428",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly S Muench, PA-C
• Megan Mumm
• Leslie A Newhouse, PA
• NSH Lancaster LLC (Lancaster Health Services)
• Ashley Oberbroeckling, L.AC, M.AC, L.M.T
• Patricia L. Peloquin
• Kimberly A Perttu, DO
• Physician Management Services of Wisconsin, LLC
• Stacey M Place, PT
• Abby Price

• Occupational Therapy Assistant in Lancaster, WI
• Providers in Lancaster, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.