Active NPI
Ella Marie Slager, COTA
- Occupational Therapy Assistant
- Waupaca, WI
National Provider Identifier
1912513342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5721-27
- Practice address
- N2665 County Rd QQ
Waupaca, WI 54981 - Phone
- (715) 258-5586
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 21, 2020
- 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 | 5721-27 | WI | Primary |
Addresses
Primary practice location
N2665 County Rd QQ
Waupaca, WI 54981
Mailing address
2238 Golden Gate Dr Apt 230
Appleton, WI 54913-4216
Phone (920) 960-6975
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 |
|---|---|---|---|
| 5721-27 | WI | MD | Occupational Therapy Assistant |
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": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1912513342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 GOLDEN GATE DR APT 230",
"city": "APPLETON",
"state": "WI",
"postal_code": "549134216",
"telephone_number": "920-960-6975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N2665 COUNTY RD QQ",
"city": "WAUPACA",
"state": "WI",
"postal_code": "54981",
"telephone_number": "715-258-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAGER",
"first_name": "ELLA",
"middle_name": "MARIE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "5721-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waupaca, WI
- Shopko Stores Operating Co LLC (Shopko Pharmacy 789)
- Shopko Stores Operating Co LLC (Shopko Pharmacy 510)
- Shopko Stores Operating Co.,LLC (Shopko Optical 789)
- Shoptikal LLC (Shopko Optical 4250)
- Debra Kay Skyrms, NCC LPC
- Sleep Health Wisconsin LLC
- Paul William Sletten, M.D.
- Dean Jerome Sondrol
- Michelle A Soto, MD
- James P Spencer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.