Susan P Hable
Individual provider Active NPI Occupational Therapist · Berlin, WI
NPI 1710141973 · NPPES record last updated Mar 25, 2025
Key facts
- NPI
- 1710141973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1855-26 (WI)
- Practice address
- 482 Oak St
Berlin, WI 54923-1204 - Phone
- (920) 361-3092
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1855-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy Services LLC | Occupational Therapist | Current |
Accepting new patients |
| Robert Runge Dba Excel Physical Therapy | Past | Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1855-26 | WI | Yes |
Addresses
Primary practice location
482 Oak St
Berlin, WI 54923-1204
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 361-3092
Other practice location 1
125 Byrd Ave
Neenah, WI 54956-4015
Phone (920) 725-7869
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40718000 | Medicaid | WI |
Other providers in Berlin, WI
- Glenn F Devries
- Susan Marie Good
- Kirsten Elizabeth Grove
- Dawn Lynn Groves
- Mary F. Guell
- Todd Sidney Hammond
- James S Heinzen
- Hillary Henke
- Scott Kenneth Hetzel
- Jessica M. Hoinacki
All providers in Berlin, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.