MS. SAMANTHA SPORLEDER (NPI# 1710290135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710290135 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA SPORLEDER |
| Credential | OTA |
| Practice Address |
2195 N Summit Village Way Oconomowoc WI 53066-8675 |
| Practice Telephone | 2625602400 |
| Practice Fax Number | 2625600563 |
| Mailing Telephone | 2625602400 |
| Mailing Fax Number | 2625600563 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4762-027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2195 N SUMMIT VILLAGE WAY |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-8675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255572459 | Kristin Clevenstine | Occupational Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2009-03-18 |
| 1386127728 | Nicole Felkl | Physical Therapy Assistant | 2195 N Summit Village Way, Oconomowoc, WI 53066 | 2018-09-12 |
| 1669953329 | Danielle Loren Jaeger | Physical Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2018-08-22 |
| 1033637889 | Nsh Summit LLC | Skilled Nursing Facility | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2017-08-31 |
| 1346621018 | Allyson Waskosky | Occupational Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066 | 2015-06-17 |
| 1154762912 | Elizabeth Widicus | Occupational Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2013-07-09 |
| 1649556275 | Sarah Krahn | Occupational Therapy Assistant | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-10-27 |
| 1720364565 | Caroline Cipriano Hanneman | Physical Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-10-25 |
| 1295011161 | Erik Labinski | Physical Therapy Assistant | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-10-24 |
| 1467749945 | Sherri Bourdo | Physical Therapist | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649556275 | Sarah Krahn | Occupational Therapy Assistant | 2195 N Summit Village Way, Oconomowoc, WI 53066-8675 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132201 | Melanie Richardson | Occupational Therapy Assistant | 1312 W Ann St, Kaukauna, WI 54130-3882 | 2020-10-21 |
| 1316546526 | Emma Lorn Klaboe-stephens | Occupational Therapy Assistant | 1425 N 12th Ave Apt 221, Wausau, WI 54401-2451 | 2020-10-19 |
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1720617129 | Holly Fales | Occupational Therapy Assistant | 677 East Street, Burlington, WI 53105-1639 | 2020-04-07 |
| 1316573520 | Kiana D Spanbauer | Occupational Therapy Assistant | 3321 Logan Dr Apt 7, Oshkosh, WI 54901-1178 | 2020-03-19 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1942851852 | Brittany Miller | Occupational Therapy Assistant | N35590 Weverstad Rd, Blair, WI 54616-8600 | 2019-09-23 |
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1073168019 | Kristen Koshalek | Occupational Therapy Assistant | 3541 Plover Rd # A, Wisconsin Rapids, WI 54494-2155 | 2019-08-06 |
| 1366004152 | Courtney Joy Langendorf | Occupational Therapy Assistant | W5528 N Shore Dr, New Lisbon, WI 53950-9034 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.