Individual provider Active NPI

Amber R Ulickey

  • Occupational Therapist
  • Waukesha, WI
National Provider Identifier
1871458356
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9064-26 Issued in WI
Practice address
N14W23800 Stone Ridge Dr Ste 110
Waukesha, WI 53188-1144
Phone
(262) 928-8830
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 9064-26 WI Primary

Addresses

Primary practice location

N14W23800 Stone Ridge Dr Ste 110
Waukesha, WI 53188-1144

Mailing address

N55W17862 High Bluff Dr Unit D
Menomonee Falls, WI 53051-1276

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310004229 WI Practitioner - Occupational Therapist in Private Practice 5890278618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

725 American Ave
Waukesha, WI 53188-5099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9064-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc. CurrentSince Jan 13, 2026 Accepting new patients
Prohealth Medical Group Inc CurrentSince Jan 13, 2026 Accepting new patients

Locations

N14W23800 Stone Ridge Dr
Ste 110
Waukesha, WI 53188
Phone (262) 696-5325

Organizations & group practices 2

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": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1871458356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N55W17862 HIGH BLUFF DR UNIT D",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530511276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N14W23800 STONE RIDGE DR STE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881144",
            "telephone_number": "262-928-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULICKEY",
        "first_name": "AMBER",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "9064-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.