Active NPI
Michelle M Rentmeester, OT
- Occupational Therapist
- Green Bay, WI
National Provider Identifier
1902882566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3093
- Practice address
- 215 N Webster Ave
Green Bay, WI 54301-4813 - Phone
- (920) 433-3638
- NPI assigned
- Dec 15, 2005
- 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 | 3093 | WI | Primary |
Addresses
Primary practice location
215 N Webster Ave
Green Bay, WI 54301-4813
Mailing address
215 N Webster Ave
Green Bay, WI 54301-4813
Phone (920) 433-3638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3093 | Other | WI | LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1902882566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543014813",
"telephone_number": "920-433-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543014813",
"telephone_number": "920-433-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTMEESTER",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3093",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.