CORY M FREDERICK (NPI# 1306926183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306926183 |
| Entity Type | Individual |
| Full Name | CORY M FREDERICK |
| Credential | OTR CLT |
| Practice Address |
400 Water Ave Hillsboro WI 54634 |
| Mailing Address |
E14305 Cty Rd P Lafarge WI 54639 |
| Practice Telephone | 6084898260 |
| Practice Fax Number | 6084898193 |
| Mailing Telephone | 6084893353 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1957026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NBCOT | 985300 | 01 | |
| WI | 40901900 | 05 |
| Street Address |
400 WATER AVE |
| City | HILLSBORO |
| State | WI |
| Zip Code | 54634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591410 | St. Joseph's Health Services, Inc. | Clinic/Center | 400 Water Ave, Hillsboro, WI 54634-9054 | 2005-10-10 |
| 1295355741 | Thomas James Moodie | Occupational Therapist | 400 Water Ave, Hillsboro, WI 54634-9054 | 2020-04-24 |
| 1164072526 | Alyssa Robbin Sherwood | Social Worker | 400 Water Ave, Hillsboro, WI 54634-9054 | 2019-09-18 |
| 1710531421 | Rebecca Ann Walker | Massage Therapist | 400 Water Ave, Hillsboro, WI 54634-9054 | 2019-07-31 |
| 1699331520 | Kody Urban Vaassen | Physical Therapist | 400 Water Ave, Hillsboro, WI 54634-9054 | 2019-05-16 |
| 1366987034 | Jessica Ann Thompson | Nurse Practitioner | 400 Water Ave, Hillsboro, WI 54634-9054 | 2017-01-04 |
| 1548614928 | Michelle Gardner | Nurse Practitioner | 400 Water Ave, Hillsboro, WI 54634-9054 | 2016-04-21 |
| 1043678725 | Kristin Wolfe | Dietitian, Registered | 400 Water Ave, Hillsboro, WI 54634-9054 | 2016-02-09 |
| 1336548163 | Christina M Brooks | Social Worker | 400 Water Ave, Hillsboro, WI 54634-9054 | 2014-08-18 |
| 1194164061 | Samantha R. Erie | Physician Assistant | 400 Water Ave, Hillsboro, WI 54634-9054 | 2013-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356557904 | Hillsboro Area Ambulance Service | Ambulance | 429 Water Ave, Hillsboro, WI 54634 | 2007-05-14 |
| 1306051990 | St. Joseph's Health Services, Inc. | Medicare Defined Swing Bed Unit | 400 Water Ave., Hillsboro, WI 54634 | 2007-05-14 |
| 1306968458 | J R Wolfenden Dds Sc | Dentist | 925 Water Ave, Hillsboro, WI 54634 | 2007-04-06 |
| 1275685984 | Peter James Wyland | Chiropractor | 652 Water Ave., Hillsboro, WI 54634 | 2007-01-16 |
| 1295849784 | St. Joseph's Community Health Services, Inc | Skilled Nursing Facility | 400 Water Avenue, Hillsboro, WI 54634 | 2006-08-19 |
| 1962744862 | Jay Richard Wolfenden | Dentist | 925 Water Ave, Hillsboro, WI 54634 | 2013-03-19 |
| 1548570393 | Tamur Jehan Mueenuddin | General Practice | 400 Water Avenue, Hillsboro, WI 54634 | 2010-10-14 |
| 1821183393 | Wayne E. Myhre | Dentist | 300 Water Avenue, Hillsboro, WI 54634-0425 | 2006-10-03 |
| 1366615940 | School District of Hillsboro | Local Education Agency (LEA) | 777 School Road, Hillsboro, WI 54634-0526 | 2008-04-04 |
| 1255872743 | Brandon William Stanek | Specialist/Technologist | E18771 Shady Ln, Hillsboro, WI 54634-3081 | 2017-03-16 |
| Find all providers in zip 54634 | ||||
| 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 |
|---|---|---|---|---|
| 1972104891 | Erin Camille Rowan | Occupational Therapist | 599 Harry Sauner Rd Ste B, Hillsboro, OH 45133-7631 | 2020-11-06 |
| 1255976882 | Madeline Bo-quan Holte | Occupational Therapist | 1015 Ne Romane Pl Apt 3202, Hillsboro, OR 97006-6070 | 2019-11-07 |
| 1992367288 | Lauren M Chavez | Occupational Therapist | 1078 Se Alika Ave, Hillsboro, OR 97123-4886 | 2019-07-08 |
| 1083121644 | Therapeutic Associates, Inc | Occupational Therapist | 2973 Se 75th Ave, Hillsboro, OR 97123-6210 | 2018-01-04 |
| 1093169781 | Therapeutic Associates Inc | Occupational Therapist | 20540 Nw Evergreen Pkwy, Hillsboro, OR 97124-7111 | 2016-04-19 |
| 1275924177 | Robert Jeremy Fraley | Occupational Therapist | 767 N West St Unit 4, Hillsboro, OH 45133-1175 | 2015-02-12 |
| 1548696826 | Isabel Del Carmen Scott | Occupational Therapist | 200 Willow Rd, Hillsboro, KS 67063-1939 | 2013-09-18 |
| 1104101989 | Katy Hietala | Occupational Therapist | 689 Nw Brookhill Ln, Hillsboro, OR 97124-2980 | 2011-10-12 |
| 1164727129 | Alana Elaine Wolters | Occupational Therapist | 6165 Se Sigrid St, Hillsboro, OR 97123-4042 | 2011-01-21 |
| 1871816678 | Renee M Jacobson | Occupational Therapist | 1356 Ne Hawthorne Ave, Hillsboro, OR 97124-2603 | 2010-03-08 |
| Find all providers in HILLSBORO | ||||
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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.