Individual provider Active NPI

Anthony L Vogel, OTR

  • Specialist
  • Manitowoc, WI
National Provider Identifier
1972531978
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
920 State St
Manitowoc, WI 54220-4038
Phone
(920) 683-1900
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Occupational Therapist 225X00000X 4249-29 WI

Addresses

Primary practice location

920 State St
Manitowoc, WI 54220-4038

Mailing address

5000 Memorial Dr
Two Rivers, WI 54241-3900
Phone (920) 794-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060905000372 WI Practitioner - Occupational Therapist in Private Practice 0547264509 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4249WIMDProfessional Counselor
4249-29WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Chiropractic Clinics Inc CurrentSince Feb 6, 2025 Accepting new patients
Advanced Lymphedema and Neuropathy SC Occupational Therapist Past Accepting new patients
Aurora Health Care North, Inc. Occupational Therapist Past Accepting new patients
Orthopaedic Associates of Manitowoc LTD Specialist Past Accepting new patients
Baycare Clinic LLP Past Accepting new patients
Wholistic Health Counseling Services PastSince May 1, 2014 Accepting new patients

Locations

1632 N 18th St
Ste 1
Manitowoc, WI 54220
Phone (920) 652-0116

1632 N 18th St
Manitowoc, WI 54220
Phone (920) 652-0116

1632 N 18th St
#1
Manitowoc, WI 54220
Phone (920) 652-0116

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1972531978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413900",
            "telephone_number": "920-794-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STATE ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204038",
            "telephone_number": "920-683-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4249-29",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.