NPIMap

Organization Active NPI

Nan Reinhardt, Otr/L & Assoc, LLC

  • Pediatric Occupational Therapist
  • Roberts, WI
National Provider Identifier
1760675987
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
NAN REINHARDT, OTR/L & ASSOC, LLC
Practice address
204 W Warren Street
Roberts, WI 54023
Phone
(715) 749-3890
Fax
(715) 749-4081
NPI assigned
Aug 21, 2007
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Nancy A Reinhardt, OTR
Title
Director, Occupational Therapist
Phone
(715) 749-3890

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Pediatric Physical Therapist 2251P0200X
Pediatric Occupational Therapist 225XP0200X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

204 W Warren Street
Roberts, WI 54023

Mailing address

PO Box 220
Roberts, WI 54023
Phone (715) 749-3890

Other identifiers 1

IdentifierTypeStateIssuer
41231400MedicaidWI

Other names 1

  • Children's Therapy Center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1760675987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ROBERTS",
            "state": "WI",
            "postal_code": "54023",
            "telephone_number": "715-749-3890",
            "fax_number": "715-749-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W WARREN STREET",
            "city": "ROBERTS",
            "state": "WI",
            "postal_code": "54023",
            "telephone_number": "715-749-3890",
            "fax_number": "715-749-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAN REINHARDT, OTR/L & ASSOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "REINHARDT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "715-749-3890",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41231400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roberts, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.