MR. SHANE DAVID FRASHER (NPI# 1205487444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205487444 |
| Entity Type | Individual |
| Full Name | MR. SHANE DAVID FRASHER |
| Credential | COTA |
| Practice Address |
3540 S 43rd St Milwaukee WI 53220-1502 |
| Practice Telephone | 4143282104 |
| Mailing Telephone | 4143282104 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 469-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3540 S 43RD ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53220-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649312000 | Rachel Ruthann Burton | Occupational Therapist | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2007-02-13 |
| 1871135723 | Lifesource of North Carolina | Psychologist | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2019-10-11 |
| 1710538640 | Kathleen Ann Shields | Physical Therapist | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2019-09-23 |
| 1487172276 | Nsh Sunrise LLC | Skilled Nursing Facility | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2017-09-01 |
| 1205202959 | Jordan Marsh | Occupational Therapy Assistant | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2015-08-18 |
| 1346639143 | Fmg South 43rd Street Wisconsin LLC | Skilled Nursing Facility | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2015-01-16 |
| 1518201573 | Jamie Nicole Scott | Physical Therapy Assistant | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2012-11-15 |
| 1841554318 | Emily Igl | Speech-Language Pathologist | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2012-06-29 |
| 1093078859 | Tammy Peterson | Physical Therapy Assistant | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2012-06-18 |
| 1659669349 | Jenna N Maliszewski | Skilled Nursing Facility | 3540 S 43rd St, Milwaukee, WI 53220-1502 | 2011-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1649761412 | Josephine Stache I | Occupational Therapy Assistant | 3136 S 95th St, Milwaukee, WI 53227-4323 | 2018-05-28 |
| 1023526910 | Peggy E Caufield | Occupational Therapy Assistant | 2753 N Weil St Lowr, Milwaukee, WI 53212-2617 | 2018-01-14 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1720598493 | Alysia Ferreira | Occupational Therapy Assistant | 2823 N 90th St, Milwaukee, WI 53222-4610 | 2017-10-06 |
| 1053820159 | Ciara Lynn Jaskolski | Occupational Therapy Assistant | 8534 West Mill Road, Milwaukee, WI 53225-1934 | 2017-09-21 |
| 1558815951 | Lisa E. Dudzinske | Occupational Therapy Assistant | 2801 W Kinnickinnic River Pkwy Ste 160, Milwaukee, WI 53215-3699 | 2016-08-15 |
| 1003274697 | Our Space, Inc. | Occupational Therapy Assistant | 1527 W National Ave, Milwaukee, WI 53204-2141 | 2016-02-10 |
| 1104223171 | Renee Leann Becht | Occupational Therapy Assistant | 4141 N 63rd Street, Milwaukee, WI 53216 | 2014-11-19 |
| 1710393509 | Danijela Budesa | Occupational Therapy Assistant | 4175 S 51st St, Apt#3, Milwaukee, WI 53220-3229 | 2014-07-01 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.