MR. NATHAN B RICKERTSEN (NPI# 1316097801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316097801 |
| Entity Type | Individual |
| Full Name | MR. NATHAN B RICKERTSEN |
| Credential | OTR |
| Practice Address |
705 E Taylor St Prairie Du Chien WI 53821-2110 |
| Practice Telephone | 6083572000 |
| Practice Fax Number | 6083572254 |
| Mailing Telephone | 6083572000 |
| Mailing Fax Number | 6083572254 |
| Enumeration Date | 2007-01-10 |
| 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 | 1996026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40720200 | 05 |
| Street Address |
705 E TAYLOR ST |
| City | PRAIRIE DU CHIEN |
| State | WI |
| Zip Code | 53821-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067826 | Mark Louis Seeley | Specialist/Technologist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2006-03-20 |
| 1578803607 | Crystal Jean Keeney | Occupational Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2013-02-27 |
| 1447418942 | Amy L Olson | Physical Therapy Assistant | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2008-05-30 |
| 1841490224 | Lisa C Neitge | Occupational Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-07-23 |
| 1841417938 | Penny K Grassel | Specialist/Technologist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-04-19 |
| 1659421337 | Eugene J Ehlinger | Physical Therapy Assistant | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-01-12 |
| 1750431995 | Thomas C Wilkes | Physical Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-01-11 |
| 1700936812 | Angie M Kramer | Physical Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-01-11 |
| 1689723306 | Kimberly L Maceachern | Speech-Language Pathologist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-01-10 |
| 1619027166 | Javier Alvarez | Occupational Therapy Assistant | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821539107 | Morgan Jewell Faulkner | Occupational Therapist | 700 S. Fremont St., Prairie Du Chien, WI 53821 | 2017-03-20 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1952551525 | Stacy L. Blackburn | Family Medicine | 800 Blackhawk Avenue, Prairie Du Chien, WI 53821 | 2008-09-19 |
| 1124276985 | Lori Knapp Crawford, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 South Beaumont Rd, Prairie Du Chien, WI 53821 | 2008-09-05 |
| 1386774834 | Jan R Kieser | Dentist | 7265 Beaumont Rd, Prairie Du Chien, WI 53821 | 2007-03-06 |
| 1437239209 | Bruce Lee Pomerening | Dentist | 109 South Beaumont Rd, Prairie Du Chien, WI 53821 | 2006-10-16 |
| 1386738078 | Edwin Herbert Neumann | Optometrist | 38020 Hwy 18, Prairie Du Chien, WI 53821 | 2006-10-03 |
| 1063515179 | Dental Associates of Prairie Du Chien PC | Dentist | 820 S Marquette Rd, Prairie Du Chien, WI 53821 | 2006-09-06 |
| 1811947492 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 800 East Blackhawk Avenue, Prairie Du Chien, WI 53821 | 2006-05-12 |
| 1497759070 | Sara J Rybarczyk | Internal Medicine | 610 East Taylor St, Prairie Du Chien, WI 53821 | 2005-06-10 |
| Find all providers in zip 53821 | ||||
| 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 |
|---|---|---|---|---|
| 1821539107 | Morgan Jewell Faulkner | Occupational Therapist | 700 S. Fremont St., Prairie Du Chien, WI 53821 | 2017-03-20 |
| 1548617848 | Kara Ann Clark | Occupational Therapist | 219 S State St, Prairie Du Chien, WI 53821-1822 | 2016-05-17 |
| 1578803607 | Crystal Jean Keeney | Occupational Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2013-02-27 |
| 1841490224 | Lisa C Neitge | Occupational Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-07-23 |
| 1598814584 | Angela I Wagner | Occupational Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-01-09 |
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| 1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
| 1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
| 1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE DU CHIEN |
| Zip Code | 53821 |
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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.