Active NPI
Monica Tomasello
- Occupational Therapist
- Williams Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 940
- Practice address
- 68 Orchard St
Williams Bay, WI 53191-9708 - Phone
- (262) 203-4963
- NPI assigned
- Dec 20, 2016
- Last updated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2602-26 | WI | |
| Occupational Therapist | 225X00000X | 940 | SC | Primary |
Addresses
Primary practice location
68 Orchard St
Williams Bay, WI 53191-9708
Mailing address
484 Fox LN
Walworth, WI 53184-9792
Phone (262) 203-4963
Other practice location 1
484 Fox Ln
Walworth, WI 53184-9792
Phone (262) 203-4963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Park CT
Gaffney, SC 29341-1275
Phone (864) 206-4237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940 | SC | MD | Occupational Therapist |
| 2602-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
Locations
101 Park Ct
Gaffney, SC 29341
Phone (843) 800-2754
1 Marcus Dr
Ste 102
Greenville, SC 29615
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": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1932644358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 FOX LN",
"city": "WALWORTH",
"state": "WI",
"postal_code": "531849792",
"telephone_number": "262-203-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 ORCHARD ST",
"city": "WILLIAMS BAY",
"state": "WI",
"postal_code": "531919708",
"telephone_number": "262-203-4963"
}
],
"practiceLocations": [
{
"address_1": "484 Fox Ln",
"address_purpose": "LOCATION",
"city": "Walworth",
"state": "WI",
"postal_code": "531849792",
"country_code": "US",
"telephone_number": "262-203-4963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMASELLO",
"first_name": "MONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2602-26",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williams Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.