Sandy Radwanski, OTR, CMT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1211-026 Issued in WI

Practice address

W7045 Silvernale Lane
Ladysmith, WI 54848

Phone

(715) 532-9355

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831309459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7045 SILVERNALE LANE",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "54848",
            "telephone_number": "715-532-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W7045 SILVERNALE LANE",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "54848",
            "telephone_number": "715-532-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWANSKI",
        "first_name": "SANDY",
        "credential": "OTR, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1211-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTR",
            "identifier": "1211-026",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "2661-046",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "AA289827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Popp
• Irene Nicole Presnell, NP
• Tonya Ray Prokop-Nette, D.C.
• Alberta Ann Raati, OTR/L
• Zoey D Rada, SLP
• Faly Rakotomahenina
• Richard W Rapp, D.O.
• Joanna Lynn Rasmussen, M.S.E.
• Susan Rae Reese, RDH
• Stephen D Reisner, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.