Active NPI
Amy Abelman Waldvogel, OTR/L
- Occupational Therapist
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5495-26
- Practice address
- 3541 Plover Rd
Wisconsin Rapids, WI 54494-2155 - Phone
- (715) 423-5423
- Fax
- (715) 423-1532
- NPI assigned
- Sep 11, 2014
- Last updated
- Dec 7, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104654 | MN | |
| Occupational Therapist | 225X00000X | 5495-26 | WI | Primary |
| Occupational Therapist | 225X00000X | 5201008851 | MI |
Addresses
Primary practice location
3541 Plover Rd
Wisconsin Rapids, WI 54494-2155
Mailing address
3541 Plover Rd
Wisconsin Rapids, WI 54494-2155
Phone (715) 423-5423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008851 | MI | MD | Occupational Therapist |
| 104654 | MN | MD | Occupational Therapist |
| 5495-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Therapies Plus LLC | Occupational Therapist | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
Organizations & group practices 4
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.
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
dba Aspirus Palliative Medicine- Wisconsin
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
dba Aspirus NICU Providers
- Pediatrics Physician
- Wausau, WI
- NPI 1700152196
-
- Rehabilitation Clinic/Center
- Wisconsin Rapids, WI
- NPI 1013045582
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1891196614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 PLOVER RD",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544942155",
"telephone_number": "715-423-5423",
"fax_number": "715-423-1532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 PLOVER RD",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544942155",
"telephone_number": "715-423-5423",
"fax_number": "715-423-1532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDVOGEL",
"first_name": "AMY",
"middle_name": "ABELMAN",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104654",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5495-26",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008851",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
- Christina Vroman, RN
- Andrea Wagner, RD, RDN
- Romaric Waguia Kouam
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1202)
- Wal-Mart Stores East, LP (Vision Center 30-1202)
- Walgreen Co (Walgreens #09009)
- Walkabout Orthotics & Prosthetics Inc (Walkabout Orthotics & Prosthetics)
- Frank L. Walter, MD
- Ashley Elizabeth Walters, COTA
- Khadar Jama Warsame
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.