Sharon A Wisnieski, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

109863 Issued in TX

Practice address

3303 Northland Dr
Suite 214
Austin, TX 78731-4945

Phone

(512) 619-0303

Fax

(512) 291-2666

NPI assigned

Sep 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Line Leader Pediatric Therapy, PLLC

  • Pediatric Occupational Therapist
  • Austin, TX
  • NPI 1245462639

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1750539417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12928 BLOOMFIELD HILLS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322066",
            "telephone_number": "512-291-3452",
            "fax_number": "512-535-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 NORTHLAND DR",
            "address_2": "SUITE 214",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314945",
            "telephone_number": "512-619-0303",
            "fax_number": "512-291-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIESKI",
        "first_name": "SHARON",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "109863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Wiseman, MD
• Taylor Wiseman, PA-C
• Alison Wiser, CNC
• Wish Upon a Star Pediatric Therapy PLLC
• David S Wishnew, M.D.
• Shelby Paige Wisor, M.ED., BCBA
• Jennilee Ariel Wisselman
• Austin Thomas Wissman
• Alex Witarsa, BCBA
• Danielle Adler Witchel, LCSW

• Pediatric Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.