Sunshine J Broeren, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3961026 Issued in WI

Practice address

505 Keller Ave S
Amery, WI 54001

Phone

(715) 268-6900

Fax

(715) 268-6895

NPI assigned

Dec 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fairview Express Care

  dba M Health Fairview Recovery Clinic

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment
• Fairview Express Care

  dba M Health Fairview Heart Clinic

  • Cardiovascular Disease Physician
  • Minneapolis, MN
  • NPI 1629224258
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD
• St Croix County

  dba St Croix County Health and Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Richmond, WI
  • NPI 1932265105
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992867659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "54001",
            "telephone_number": "715-268-6900",
            "fax_number": "715-268-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 KELLER AVE S",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "54001",
            "telephone_number": "715-268-6900",
            "fax_number": "715-268-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEREN",
        "first_name": "SUNSHINE",
        "middle_name": "J",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3961026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnette A Barrineau, MD
• Matthew Bogan, M.D.
• Jessica L Bradford, ORTL
• Brenda Gail Brandt, COTA
• Theresa Briggs, LCSW
• Cheryl Rose Buechner, PHD., LP
• Julie B. Burbach, O.T.
• Erica L Burger, D.O.
• Jonathan S. Burns, DO
• Danielle R Busse-Quenan, DO

• Occupational Therapist in Amery, WI
• Providers in Amery, WI by specialty
• Occupational Therapist 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.
• 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.

Verify at the official NPI Registry.