Active NPI
Shari L Pfankuch, OTR
- Occupational Therapist
- Oconto Falls, WI
National Provider Identifier
1881869949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 654026
- Practice address
- 100 E Highland Drive
Sharpe Care
Oconto Falls, WI 54154 - Phone
- (920) 848-3272
- Fax
- (920) 848-7833
- NPI assigned
- Apr 29, 2008
- Last updated
- Apr 29, 2008
- 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 Therapist | 225X00000X | 654026 | WI | Primary |
Addresses
Primary practice location
100 E Highland Drive
Sharpe Care
Oconto Falls, WI 54154
Mailing address
W6116 Pine Lane
Shari Pfankuch
Crivitz, WI 54114
Phone (715) 927-4010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40686900 | Medicaid | WI |
Other names 1
- Shari L Bruckschen
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 |
|---|---|---|---|
| 654026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1881869949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W6116 PINE LANE",
"address_2": "SHARI PFANKUCH",
"city": "CRIVITZ",
"state": "WI",
"postal_code": "54114",
"telephone_number": "715-927-4010",
"fax_number": "715-854-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E HIGHLAND DRIVE",
"address_2": "SHARPE CARE",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "54154",
"telephone_number": "920-848-3272",
"fax_number": "920-848-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFANKUCH",
"first_name": "SHARI",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "654026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40686900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARI",
"last_name": "BRUCKSCHEN",
"middle_name": "L",
"credential": "OCCUPATIONAL THER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Oconto Falls, WI
- Pain Centers of Wisconsin - Oconto Falls, LLC
- Iris Theodora Cinco Perez-Marquardt, M.D
- Gavin Paul Peters, PA
- June Marie Peters, N.P.
- Gregory A Peyer, MD
- Ella Preston, APNP
- PSCN, LLC (Sharpe Care Nursing & Rehabilitation)
- Krista Michele Radish, NP
- Tricia A Rocole, CRNA
- Philip H. Rohde, C.R.N.A., A.P.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.