Active NPI
Sara Nase Villarreal, OTR
- Pediatric Occupational Therapist
- Janesville, WI
National Provider Identifier
1760471742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5437
- Practice address
- 200 W Milwaukee St
Janesville, WI 53548-2916 - Phone
- (608) 516-6983
- NPI assigned
- Oct 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5437 | WI | Primary |
| Occupational Therapist | 225X00000X | OT6294 | CA |
Addresses
Primary practice location
200 W Milwaukee St
Janesville, WI 53548-2916
Mailing address
120 N Henry St
Stoughton, WI 53589-1821
Other practice location 1
Unit 3865
Apo, AE 09126
DE
Phone 01149656561 ext. 8238
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT6294 | CA | MD | Occupational Therapist |
| 5437 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1760471742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N HENRY ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535891821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W MILWAUKEE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482916",
"telephone_number": "608-516-6983"
}
],
"practiceLocations": [
{
"address_1": "Unit 3865",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "09126",
"country_code": "DE",
"telephone_number": "01149656561 x8238",
"fax_number": "8236",
"country_name": "Germany",
"address_type": "FGN"
}
],
"basic": {
"last_name": "VILLARREAL",
"first_name": "SARA",
"middle_name": "NASE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WI",
"license": "5437",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT6294",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.