ANDREA HERMSEN (NPI# 1750908448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750908448 |
| Entity Type | Individual |
| Full Name | ANDREA HERMSEN |
| Other Name | ANDREA KLOCKOW |
| Credential | COTA |
| Practice Address |
2131 S Business Dr Sheboygan WI 53081-5656 |
| Practice Telephone | 9208031617 |
| Practice Fax Number | 9208031622 |
| Mailing Telephone | 9208031617 |
| Mailing Fax Number | 9208031622 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4571 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41813000 | 05 |
| Street Address |
2131 S BUSINESS DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-5656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598886152 | Progressive Beginnings, LLC | Clinic/Center | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2007-04-02 |
| 1952928624 | Jordan Anderson | Physical Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2020-06-29 |
| 1144846445 | Amanda Murphy | Occupational Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2020-06-22 |
| 1003451972 | Joshua R Luna | Occupational Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2019-11-14 |
| 1265925556 | Erica Scharf | Physical Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2018-06-11 |
| 1710482997 | Melanie Ann Francione | Occupational Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2018-03-28 |
| 1730692880 | Ashley Sidlauskas | Physical Therapy Assistant | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2017-11-13 |
| 1881106466 | Sara Ploeger | Occupational Therapy Assistant | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2017-11-03 |
| 1669919759 | Leda Carlson | Occupational Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2017-01-26 |
| 1235522392 | Lauren Paige Bouvat | Occupational Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2015-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1487828372 | Jennifer M Carew | Occupational Therapy Assistant | 930 N 6th St, Sheboygan, WI 53081-4150 | 2008-04-22 |
| 1073172920 | Emilee Daehnert | Occupational Therapy Assistant | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2019-06-12 |
| 1881106466 | Sara Ploeger | Occupational Therapy Assistant | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2017-11-03 |
| 1083126874 | Jenna L Tadych | Occupational Therapy Assistant | 3129 Michigan Ave, Sheboygan, WI 53081-3062 | 2017-11-02 |
| 1235653163 | Amanda M Walesh | Occupational Therapy Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2017-08-02 |
| 1396267662 | Abby Jo Miller | Occupational Therapy Assistant | 3613 S 13th St, Sheboygan, WI 53081-7253 | 2017-07-08 |
| 1790140184 | Caroline Matlock | Occupational Therapy Assistant | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2015-12-29 |
| 1588073191 | Lindsay Richison | Occupational Therapy Assistant | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2014-08-07 |
| 1902224330 | Meagan Marie Derksen | Occupational Therapy Assistant | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2014-04-02 |
| 1659646032 | Margaret Galaska | Occupational Therapy Assistant | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2012-03-18 |
| Find all providers in SHEBOYGAN | ||||
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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.