Individual provider Active NPI

Robin A Lohse, COTA

  • Occupational Therapy Assistant
  • Bloomer, WI
National Provider Identifier
1821317835
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4735-027 Issued in WI
Practice address
1731 17TH Ave
Bloomer, WI 54724-1512
Phone
(715) 568-4669
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4735-027 WI Primary

Addresses

Primary practice location

1731 17TH Ave
Bloomer, WI 54724-1512

Mailing address

1731 17TH Ave
PO Box 176
Bloomer, WI 54724-1512
Phone (715) 568-4669

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
4735-027WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1821317835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 17TH AVE",
            "address_2": "PO BOX 176",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241512",
            "telephone_number": "715-568-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 17TH AVE",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241512",
            "telephone_number": "715-568-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHSE",
        "first_name": "ROBIN",
        "middle_name": "A",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4735-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.