Active NPI
Melissa Catherine Straub
- Occupational Therapist
- Random Lake, WI
National Provider Identifier
1750442885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3679-026
- Practice address
- N546 Schroeter Dr
Random Lake, WI 53075-1272 - Phone
- (920) 207-3550
- Fax
- (920) 994-4606
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 8, 2007
- 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 Therapist | 225X00000X | 3679-026 | WI | Primary |
Addresses
Primary practice location
N546 Schroeter Dr
Random Lake, WI 53075-1272
Mailing address
N546 Schroeter Dr
Random Lake, WI 53075-1272
Phone (920) 207-3550
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3679-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mueller Therapy, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Random Lake, WI
- NPI 1578515755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750442885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N546 SCHROETER DR",
"city": "RANDOM LAKE",
"state": "WI",
"postal_code": "530751272",
"telephone_number": "920-207-3550",
"fax_number": "920-994-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N546 SCHROETER DR",
"city": "RANDOM LAKE",
"state": "WI",
"postal_code": "530751272",
"telephone_number": "920-207-3550",
"fax_number": "920-994-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAUB",
"first_name": "MELISSA",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3679-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Random Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.