Active NPI
Aubreonna Poole
- Occupational Therapist
- Verona, WI
National Provider Identifier
1962238782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 871826
- Practice address
- 1049 N Edge TRL
Verona, WI 53593-1942 - Phone
- (608) 845-2100
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- 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 | 871826 | WI | Primary |
Addresses
Primary practice location
1049 N Edge TRL
Verona, WI 53593-1942
Mailing address
4709 Cottage Grove Rd
Madison, WI 53716-1333
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 |
|---|---|---|---|
| 871826 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1962238782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 COTTAGE GROVE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537161333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 N EDGE TRL",
"city": "VERONA",
"state": "WI",
"postal_code": "535931942",
"telephone_number": "608-845-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "AUBREONNA",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "871826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.