Individual provider Active NPI

Rachel Sitzman

  • Occupational Therapist
  • Wauwatosa, WI
National Provider Identifier
1871028613
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6005-26 Issued in WI
Practice address
6810 W State St
Wauwatosa, WI 53213-2807
Phone
(414) 259-0623
Fax
(414) 259-0746
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6005-26 WI Primary

Addresses

Primary practice location

6810 W State St
Wauwatosa, WI 53213-2807

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170505000768 WI Practitioner - Occupational Therapist in Private Practice 3577840230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates of Wisconsin SCGroup PAC ID 1052200953, 106 clinicians

Practice addresses (Care Compare)

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic & Therapeutic Institute of Milwaukee, LLC Occupational Therapist CurrentSince Apr 17, 2017 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 29, 2018 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 29, 2018 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Occupational Therapist CurrentSince Apr 17, 2017 Accepting new patients
The Medical College of Wisconsin, Inc. Current Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N96W17960 County Line Rd
Germantown, WI 53022
Phone (262) 946-0404

110 Lone Oak Ln
Hartford, WI 53027
Phone (262) 670-1800

S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

6810 W State St
Wauwatosa, WI 53213
Phone (414) 259-0623

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1871028613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 W STATE ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132807",
            "telephone_number": "414-259-0623",
            "fax_number": "414-259-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITZMAN",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6005-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.