NPIMap

Organization Active NPI

Therapy Specialists, LLC

  • Pediatric Occupational Therapist
  • Mosinee, WI
National Provider Identifier
1861638223
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1700-026 Issued in WI
Legal business name
THERAPY SPECIALISTS, LLC
Practice address
415 Orbiting Dr
Suite B
Mosinee, WI 54455-1762
Phone
(715) 693-7178
Fax
(715) 693-7178
NPI assigned
Jan 6, 2009
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Deborah Jean Hoover, OTRNPI 1417008608
Title
Owner
Phone
(715) 693-7178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 1700-026 WI Primary

Addresses

Primary practice location

415 Orbiting Dr
Suite B
Mosinee, WI 54455-1762

Mailing address

415 Orbiting Dr
Suite B
Mosinee, WI 54455-1762
Phone (715) 693-7178

Other identifiers 1

IdentifierTypeStateIssuer
41012200MedicaidWI

National Provider Directory

National Provider Directory

Locations

415 Orbiting Dr
#B
Mosinee, WI 54455
Phone (715) 693-7178

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1861638223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ORBITING DR",
            "address_2": "SUITE B",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551762",
            "telephone_number": "715-693-7178",
            "fax_number": "715-693-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ORBITING DR",
            "address_2": "SUITE B",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551762",
            "telephone_number": "715-693-7178",
            "fax_number": "715-693-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-693-7178",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "1700-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41012200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mosinee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.