Active NPI
Reagan Memmer, OTR/L
- Occupational Therapist
- Osceola, WI
National Provider Identifier
1811806607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105908
- Practice address
- 2600 65TH Ave
Osceola, WI 54020-4376 - Phone
- (715) 294-2111
- NPI assigned
- Sep 5, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 105908 | MN | Primary |
Addresses
Primary practice location
2600 65TH Ave
Osceola, WI 54020-4376
Mailing address
2376 10TH Ave
Osceola, WI 54020-5916
Phone (612) 240-9138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1811806607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 10TH AVE",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "540205916",
"telephone_number": "612-240-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 65TH AVE",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "540204376",
"telephone_number": "715-294-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMMER",
"first_name": "REAGAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-05",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.