Emily Mae Bussanich, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

3005 S Riverside Dr Ste 103
Beloit, WI 53511-1500

Phone

(608) 313-8600

Fax

(608) 312-2406

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moving on LLC

  • Occupational Therapist
  • Janesville, WI
  • NPI 1063883668
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1861156499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 S RIVERSIDE DR STE 103",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 S RIVERSIDE DR STE 103",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111500",
            "telephone_number": "608-313-8600",
            "fax_number": "608-312-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSANICH",
        "first_name": "EMILY",
        "middle_name": "MAE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana L. Brotherton, P.T.
• Lynell L Brown, AUD
• Jessica Lorraine Brunjes, O.T.
• Audrey K Buchanan, MSW
• James Caldwell Bursinger, DDS
• Kayla Elizabeth Buttke, COTA
• Catherine Caban-Treat, LPN
• Nissage Cadet, M.D.
• Maureen Louise Cain, APN
• Megan Calderon-Rowe, RDH

• Occupational Therapy Assistant in Beloit, WI
• Providers in Beloit, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.