Joanne Marie Owen, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

204527 Issued in WI

Practice address

2961 Saint Anthony Dr
Green Bay, WI 54311-5860

Phone

(920) 468-0861

Fax

(920) 569-1566

NPI assigned

Feb 1, 2012

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 names 1

• Joanne Marie Bohl Former name

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1730451196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 SAINT ANTHONY DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115860",
            "telephone_number": "920-468-0861",
            "fax_number": "920-569-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 SAINT ANTHONY DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115860",
            "telephone_number": "920-468-0861",
            "fax_number": "920-569-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "204527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "BOHL",
            "middle_name": "MARIE",
            "credential": "OTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony James Otto, DC
• Jory A Ough, M.D.
• Matthew J Ough, MD
• Our Created Lives LLC
• Leslie Carroll Ousley, MA, LPC
• William L Owens
• Sylvia Owusu, M.D.
• P.O.W.E.R. Wellness and Family Center, LLC
• Melissa J Paasch, APNP
• Carianne Pace, PHARMD

• Occupational Therapy Assistant in Green Bay, WI
• Providers in Green Bay, 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 Feb 1, 2012; 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.