NPIMap

Individual provider Active NPI

Sandra Ann Ceranski, O.T.R.

  • Occupational Therapist
  • Muskego, WI
National Provider Identifier
1740546001
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1102-026 Issued in WI
Practice address
W131S6680 Kipling Dr
Muskego, WI 53150-3402
Phone
(414) 425-0090
NPI assigned
Apr 11, 2012
Last updated
May 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1102-026 WI Primary

Addresses

Primary practice location

W131S6680 Kipling Dr
Muskego, WI 53150-3402

Mailing address

W131S6680 Kipling Dr
Muskego, WI 53150-3402
Phone (414) 425-0090

Other identifiers 3

IdentifierTypeStateIssuer
1102-26OtherWIOT LICENSE
AA340687OtherWINBCOT REGISTRATION
40508300MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1102-026WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1740546001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W131S6680 KIPLING DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531503402",
            "telephone_number": "414-425-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W131S6680 KIPLING DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531503402",
            "telephone_number": "414-425-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERANSKI",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1102-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "1102-26",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT REGISTRATION",
            "identifier": "AA340687",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40508300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.