Active NPI
Mary K Santarelli, OT
- Occupational Therapist
- Pleasant Prairie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5042
- Practice address
- 12500 Aurora Dr
Pleasant Prairie, WI 53158-1227 - Phone
- (262) 857-5000
- Fax
- (262) 857-5001
- NPI assigned
- Jul 22, 2011
- 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 Therapist | 225X00000X | 5042 | WI | Primary |
Addresses
Primary practice location
12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
7610 Pershing Blvd
Kenosha, WI 53142-4318
Phone (262) 948-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100016490 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msantarelli47936@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5042 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Health Care Southern Lakes, Inc. | Past | Accepting new patients |
Locations
10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
12500 Aurora Dr
Pleasant Prairie, WI 53158
Phone (262) 857-5000
Interoperability endpoints
- msantarelli47936@direct.myadvocateaurora.org
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1972881183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 AURORA DR",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581227",
"telephone_number": "262-857-5000",
"fax_number": "262-857-5001"
}
],
"practiceLocations": [
{
"address_1": "7610 Pershing Blvd",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531424318",
"country_code": "US",
"telephone_number": "262-948-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTARELLI",
"first_name": "MARY",
"middle_name": "K",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100016490",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msantarelli47936@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12500 Aurora Dr",
"city": "Pleasant Prairie",
"state": "WI",
"country_code": "US",
"postal_code": "531581227",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "12500 Aurora Dr",
"city": "Pleasant Prairie",
"state": "WI",
"country_code": "US",
"postal_code": "531581227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.