Individual provider Active NPI

Catherine Mary Friel-Dombeck, OTR/L

  • Occupational Therapist
  • Milwaukee, WI
National Provider Identifier
1881861557
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
811-026 Issued in WI
Practice address
851 N 29TH St
Milwaukee, WI 53208-3402
Phone
(414) 807-7765
Fax
(414) 435-6143
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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 811-026 WI Primary

Addresses

Primary practice location

851 N 29TH St
Milwaukee, WI 53208-3402

Mailing address

851 N 29TH St
Milwaukee, WI 53208-3402
Phone (414) 807-7765

Other identifiers 1

IdentifierTypeStateIssuer
40578900MedicaidWI

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

LicenseStateTypeSpecialty
811-026WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1881861557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 N 29TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083402",
            "telephone_number": "414-807-7765",
            "fax_number": "414-435-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 N 29TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083402",
            "telephone_number": "414-807-7765",
            "fax_number": "414-435-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEL-DOMBECK",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "811-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40578900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.