Active NPI
Wendy L Fassbender, OTA
- Occupational Therapy Assistant
- Appleton, WI
National Provider Identifier
1881647121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1216027
- Practice address
- 2323 N Casaloma Dr
Appleton, WI 54913-8284 - Phone
- (920) 730-8833
- NPI assigned
- May 18, 2006
- 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 | 1216027 | WI | Primary |
Addresses
Primary practice location
2323 N Casaloma Dr
Appleton, WI 54913-8284
Mailing address
PO Box 7700
Appleton, WI 54912-7079
Phone (920) 730-8833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40792300 | Medicaid | WI |
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 |
|---|---|---|---|
| 1216027 | WI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881647121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7700",
"city": "APPLETON",
"state": "WI",
"postal_code": "549127079",
"telephone_number": "920-730-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N CASALOMA DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138284",
"telephone_number": "920-730-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSBENDER",
"first_name": "WENDY",
"middle_name": "L",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "1216027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40792300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.