Deanna Rae Carey, OTR-L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5304-26 Issued in WI

Practice address

1320 Wisconsin St
Hudson, WI 54016-1861

Phone

(715) 386-4528

NPI assigned

Jul 31, 2008

Last updated

Apr 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Deanna Rae Bongard Former name

Medicare fee-for-service enrollment

Enrolled in MN

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Speech & Therapy Services, LLC

  dba Sora Pediatric Therapy

  • Speech-Language Pathologist
  • Andover, MN
  • NPI 1235285966

  Occupational Therapist

  Medicare reassignment NPD
• Impact Physical Medicine and Aquatic Center

  dba IMPACT Physical Medicine

  • Physical Therapy Clinic/Center
  • Saint Paul, MN
  • NPI 1457417131
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1760648661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WISCONSIN ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161861",
            "telephone_number": "715-386-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WISCONSIN ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161861",
            "telephone_number": "715-386-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "DEANNA",
        "middle_name": "RAE",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5304-26",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173439300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BONGARD",
            "middle_name": "RAE",
            "credential": "MA, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Mae Butterbaugh, MOT
• Dana Marie Butterbrodt, MSN, FNP-C, APNP
• Kyra Caauwe
• Shelly Lynn Callais-Odell
• Calming Currents Mental Health LLC
• Camille Cari
• Makenna J Carpenter, PT
• Ariana Marta Carrasco
• Robert Michael Catlow-Price, LMT
• Jeffrey S Cavaness, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.