Active NPI
Edith Quiles Stangl, MOT, OTR/L
- Occupational Therapist
- Fitchburg, WI
National Provider Identifier
1851867865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 637026
- Practice address
- 3305 Leopold Way Apt 102
Fitchburg, WI 53713-3517 - Phone
- (417) 413-9060
- NPI assigned
- Oct 17, 2018
- Last updated
- Nov 15, 2018
- 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 | 637026 | WI | Primary |
Addresses
Primary practice location
3305 Leopold Way Apt 102
Fitchburg, WI 53713-3517
Mailing address
3305 Leopold Way Apt 102
Fitchburg, WI 53713-3517
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1851867865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 LEOPOLD WAY APT 102",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537133517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 LEOPOLD WAY APT 102",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537133517",
"telephone_number": "417-413-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGL",
"first_name": "EDITH",
"middle_name": "QUILES",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "637026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, WI
- SSM Health Care of Wisconsin,Inc (St. Mary's Hospital)
- Stacy L Knoll Dba Mindy's Place (Stacy Lee Knoll)
- Bret Stalcup, LMFT, MS
- Tammy Stanek, C.P.D.A.
- Ann Elizabeth Stanger, MD
- Alexander Stanley, PTA
- Evan Steiger
- Stellar Rehabilitation, LLC-Sylvan Crossings Chapel Valley
- Stellar Rehabilitation, LLC-Sylvan Crossings Fitchburg
- Leah Marie Stenjem, OTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.