MRS. ANNETTE BRAUCKHOFF (NPI# 1295390888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295390888 |
| Entity Type | Individual |
| Full Name | MRS. ANNETTE BRAUCKHOFF |
| Practice Address |
677 E State St Burlington WI 53105-1639 |
| Mailing Address |
1429 Creek Side Dr Burlington WI 53105-8217 |
| Practice Telephone | 2627639531 |
| Mailing Telephone | 2627671425 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3117 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
677 E STATE ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538245170 | Kam Kwan Soo | Psychiatry & Neurology | 677 E State St, Burlington, WI 53105 | 2006-10-27 |
| 1487265716 | Amanda Waldera | Physical Therapist | 677 E State St, Burlington, WI 53105-1639 | 2020-08-11 |
| 1609400845 | Carolyn Haney | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2020-02-26 |
| 1245864586 | Jazzlyn Garcia | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1144854464 | Casey Roberts | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1700430295 | Dana Siebenaller Wiemer | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-08-01 |
| 1568027977 | Scott Street | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-05-01 |
| 1629558457 | Rebecca Lynn Baade | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| 1376023176 | Thera Ann Rossmiller | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| 1841717139 | Eileen Louise Dahl | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| 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 |
|---|---|---|---|---|
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1952912073 | Mckenzee Muenchen | Occupational Therapist | 6913 Gordon Blvd, Burlington, KY 41005-6563 | 2020-08-12 |
| 1689113458 | Anne Humphrey | Occupational Therapist | 3114 Millakin Pl, Burlington, KY 41005-9156 | 2017-02-14 |
| 1548628514 | Stacey Grosche | Occupational Therapist | 11350 19th Ave Nw, Burlington, ND 58722-9504 | 2016-02-05 |
| 1194190660 | Olubusola Abidemi Oladiran-adedeji | Occupational Therapist | 3 Equine Run, Burlington, NJ 08016-3036 | 2015-12-09 |
| 1720452139 | Todd Eric Patterson | Occupational Therapist | 300 Pearl St, Burlington, VT 05401-8531 | 2015-11-23 |
| 1124498183 | Lorin Erickson | Occupational Therapist | 3954 Kincade Dr, Burlington, NC 27215-9429 | 2015-10-03 |
| 1043601578 | Marcy Thomas | Occupational Therapist | 3042 Canyon Overlook, Burlington, KY 41005-7891 | 2015-02-05 |
| 1548684798 | Christina Stewart | Occupational Therapist | 6 Spencer Ave, Burlington, NJ 08016-3915 | 2014-02-08 |
| 1528489515 | Sarah Jennings | Occupational Therapist | 1114 Arboretum Way, Burlington, MA 01803-3837 | 2013-12-18 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.