MRS. MELANIE KAY HERTZOG (NPI# 1578772760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578772760 |
| Entity Type | Individual |
| Full Name | MRS. MELANIE KAY HERTZOG |
| Credential | OTR |
| Practice Address |
2025 E Newport Ave Milwaukee WI 53211-2906 |
| Mailing Address |
1940 N Prospect Ave #50 Milwaukee WI 53202-1493 |
| Practice Telephone | 4149614164 |
| Mailing Telephone | 4145348639 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
4475-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831131663 | Melanie Pyke Hertzog | Social Worker | 114 Clinton St, Binghamton, NY 13905-2212 | 2006-06-13 |
| Street Address |
2025 E NEWPORT AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585529 | James Sherry | Specialist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2005-11-18 |
| 1255644506 | Anne Catherine Melvin | Physician Assistant | 2025 E Newport Ave, S217, Milwaukee, WI 53211-2906 | 2010-07-15 |
| 1952636946 | Emily Markowski | Physical Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-10-08 |
| 1841428612 | Mindy Stollenwerk | Physical Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-06-30 |
| 1467680959 | Maureen Foley Nuechterlein | Dietitian, Registered | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-06-23 |
| 1578798930 | Timothy E Mcelroy | Counselor | 2025 E Newport Ave, Suite 404, Milwaukee, WI 53211-2906 | 2009-05-28 |
| 1992947899 | Matthew William Mestelle | Physical Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2009-03-24 |
| 1164687646 | David Charles Osmon | Clinical Neuropsychologist | 2025 E Newport Ave, Sacred Heart Rehabilitation Institute, Milwaukee, WI 53211 | 2008-07-23 |
| 1932368370 | Katherine Rogers | Speech-Language Pathologist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2008-06-02 |
| 1962624023 | Julie Isaacson | Occupational Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972707305 | Mari Lynn Carol Young | Occupational Therapist | 6362 S 20th St, Milwaukee, WI 53221-5255 | 2007-06-11 |
| 1841243185 | Laura M. Hey | Occupational Therapist | 2025 E. Newport Ave., Milwaukee, WI 53211 | 2006-05-18 |
| 1306889845 | John Heinle | Occupational Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2006-06-13 |
| 1992750988 | Renee E Rettler | Occupational Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952577801 | Heather Marie Dhaseleer | Occupational Therapist | 7808 Mitzi Ln, Rhinelander, WI 54501-8494 | 2008-05-01 |
| 1205094646 | Mary T Kruse | Occupational Therapist | 1126 S 70th St, Suite S305b, West Allis, WI 53214-3151 | 2008-05-31 |
| 1760660377 | Pause for Healing, LLC | Occupational Therapist | 13965 W Burleigh Rd, Suite 103, Brookfield, WI 53005-3064 | 2008-02-06 |
| 1174724074 | Alyssa Jacqueline Reas | Occupational Therapist | 354 N Main St, Oregon, WI 53575-1426 | 2007-05-29 |
| 1841382066 | Diane Fay Kahl | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-28 |
| 1831297613 | Jennifer L. Mennicke Anderson | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-20 |
| 1497853899 | Christopher Joseph Suess | Occupational Therapist | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-09-20 |
| 1508870189 | Colin R Grove | Occupational Therapist | 6630 University Ave, Rehabilitation Clinic - Middleton Mail Code 9430, Middleton, WI 53562-3036 | 2006-07-28 |
| 1811901499 | Peggy A Nied | Occupational Therapist | 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792-0001 | 2006-07-28 |
| 1811919293 | Michael H Mcginn | Occupational Therapist | 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792-0001 | 2006-07-24 |
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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.