MS. SUSAN ANN DOBBERPUHL (NPI# 1235310921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235310921 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ANN DOBBERPUHL |
| Other Name | MS. SUSAN ANN KOTECKI |
| Credential | OTR |
| Practice Address |
306 N Sprint St Port Washington WI 53074 |
| Mailing Address |
306 N Spring St Port Washington WI 53074 |
| Practice Telephone | 2622842668 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1841026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40864700 | 05 |
| Street Address |
306 N SPRINT ST |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| 1588198857 | Stephanie Cooper | Speech-Language Pathologist | 1119 N Wisconsin St, Port Washington, WI 53074 | 2017-04-13 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366900136 | Aegis Group Practice LLC | Occupational Therapist | 1330 W Lincoln Ave, Port Washington, WI 53074-2050 | 2019-03-11 |
| 1073823167 | Donna Lee Kosina | Occupational Therapist | 10 Maple Dr., Port Washington, NY 11050 | 2010-10-07 |
| 1477796720 | Gail Grubman | Occupational Therapist | 85a Bayview Ave, Port Washington, NY 11050-3531 | 2009-04-16 |
| 1225228596 | Mary Frances Bernadette | Occupational Therapist | 128 E Kane St, Port Washington, WI 53074-1625 | 2007-08-01 |
| 1063011138 | Bridget Kavanagh | Occupational Therapist | 300 E Overlook, Port Washington, NY 11050-4730 | 2020-10-20 |
| 1154612828 | Jamie Lynn Mandel | Occupational Therapist | 61 Highland Ave, Port Washington, NY 11050-4041 | 2011-04-28 |
| 1568611507 | Joyce Lewis | Occupational Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2008-09-15 |
| 1750565487 | Jennifer Brooke Shimon | Occupational Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2007-12-17 |
| 1962614131 | Linda Ann Phillips | Occupational Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2007-05-03 |
| 1801018759 | Angella Adelle Siegel | Occupational Therapist | 1119 N Wisconsin St, Port Washington, WI 53074-1209 | 2007-05-02 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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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.