Individual provider Active NPI

Jillian Mae Cadotte, OTR/L

  • Occupational Therapist
  • Washburn, WI
National Provider Identifier
1801078191
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4422-026 Issued in WI
Practice address
706 Bratley Dr
Washburn, WI 54891-1143
Phone
(715) 373-6425
Fax
(715) 373-5655
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4422-026 WI Primary

Addresses

Primary practice location

706 Bratley Dr
Washburn, WI 54891-1143

Mailing address

706 Bratley Dr
Washburn, WI 54891-1143
Phone (715) 373-6425

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
4422-026WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1801078191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 BRATLEY DR",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911143",
            "telephone_number": "715-373-6425",
            "fax_number": "715-373-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 BRATLEY DR",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911143",
            "telephone_number": "715-373-6425",
            "fax_number": "715-373-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADOTTE",
        "first_name": "JILLIAN",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4422-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.