Individual provider Active NPI

Colleen Frey-McGovern, COTA

  • Occupational Therapy Assistant
  • Madison, WI
National Provider Identifier
1760051288
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5586-27 Issued in WI
Practice address
7818 Big Sky Dr Ste 217
Madison, WI 53719-2840
Phone
(786) 473-4758
NPI assigned
Jun 19, 2021
Last updated
Jun 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5586-27 WI Primary

Addresses

Primary practice location

7818 Big Sky Dr Ste 217
Madison, WI 53719-2840

Mailing address

7818 Big Sky Dr Ste 217
Madison, WI 53719-2840
Phone (786) 473-4758

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5586-27WIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Therapy, Inc. CurrentSince Jun 27, 2021 Accepting new patients

Locations

7818 Big Sky Dr
Ste 217
Madison, WI 53719
Phone (608) 709-7070

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.

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1760051288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "786-473-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "786-473-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY-MCGOVERN",
        "first_name": "COLLEEN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5586-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.