Laura Jane Wolf, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1845027 Issued in WI

Practice address

802 E County Hwy B
Terraceview Living Center
Shell Lake, WI 54871-0609

Phone

(715) 468-7292

Fax

(715) 468-4232

NPI assigned

Jun 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laura Jane Muges Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952506933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 LAKEVIEW ROAD",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548729015",
            "telephone_number": "715-349-2025",
            "fax_number": "715-468-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E COUNTY HWY B",
            "address_2": "TERRACEVIEW LIVING CENTER",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548710609",
            "telephone_number": "715-468-7292",
            "fax_number": "715-468-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1845027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40887600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MUGES",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Washburn County Health and Human Services
• Washburn County Health and Human Services
• Washburn County Health and Human Services Dept
• Terry Lynn Weinert, APRN
• Western Region Recovery & Wellness Consortia

• Occupational Therapy Assistant in Shell Lake, WI
• Providers in Shell Lake, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.