Active NPI
Carissa Ann Verhasselt
- Occupational Therapy Assistant
- Shawano, WI
National Provider Identifier
1881162568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5552-27
- Practice address
- 1436 S Lincoln St
Shawano, WI 54166-3427 - Phone
- (715) 526-6111
- NPI assigned
- Nov 11, 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 Therapy Assistant | 224Z00000X | 5552-27 | WI | Primary |
Addresses
Primary practice location
1436 S Lincoln St
Shawano, WI 54166-3427
Mailing address
N4211 McCabe Rd
Kaukauna, WI 54130-7743
Phone (920) 810-4931
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5552-27 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1386381598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761436800000",
"number": "1881162568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4211 MCCABE RD",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541307743",
"telephone_number": "920-810-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 S LINCOLN ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541663427",
"telephone_number": "715-526-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERHASSELT",
"first_name": "CARISSA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-11",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "5552-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.