Anna Bruckbauer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

746483 Issued in WI

Practice address

9122 W Dixon St Apt 101
Milwaukee, WI 53214-1360

Phone

(608) 206-5293

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1538112230
  Medicare reassignment NPD
• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119
  Medicare reassignment NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1679706022
  NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1760077945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9122 W DIXON ST APT 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141360",
            "telephone_number": "608-206-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 W DIXON ST APT 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141360",
            "telephone_number": "608-206-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKBAUER",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "746483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bruce, PA-C
• Stephanie Bruce, MS, RN, APNP, ACNS-B
• Kathlene Bruch-Nenn, RDH
• Robert Bruch
• Thomas Gerald Bruchs, DDS
• John Bruckbauer, MD
• Julia A. Bruckner, M.D.
• Elinor J Bruders, FNP-BC, NP-C
• Shelly L Brudnicki, LCSW
• Katherine Ann Brueck, M.S.CCC-SLP

• Occupational Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.