TIFFANY WERNER (NPI# 1962584250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962584250 |
| Entity Type | Individual |
| Full Name | TIFFANY WERNER |
| Credential | OTR |
| Practice Address |
39 N 25th St E Superior WI 54880-5269 |
| Mailing Address |
5151 Munger Shaw Rd Saginaw MN 55779-9523 |
| Practice Telephone | 7636895385 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3072 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 102008 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 130G4WE | 01 |
| WI | 41810700 | 05 | |
| MN | HEALTH PARTNERS | HP48697 | 01 |
| MN | MEDIDA | 6405163 | 01 |
| Street Address |
39 N 25TH ST E |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922073121 | Hrc Mental Health Center | Clinic/Center | 39 N 25th St E, Superior, WI 54880-5269 | 2006-02-21 |
| 1427655174 | Challenge Center, Inc. | Nursing Care | 39 N 25th St E, Superior, WI 54880-5246 | 2020-10-06 |
| 1164030680 | Megan Marie Norby | Speech-Language Pathologist | 39 N 25th St E, Superior, WI 54880-5246 | 2020-07-21 |
| 1982879995 | Richard Fruehauf | Counselor | 39 N 25th St E, Superior, WI 54880-5269 | 2008-04-30 |
| 1366617375 | Lynn M Tracy | Counselor | 39 N 25th St E, Superior, WI 54880-5269 | 2008-04-30 |
| 1730354747 | Melony Sasser | Social Worker | 39 N 25th St E, Superior, WI 54880-5269 | 2008-04-30 |
| 1033290770 | David X Swenson | Psychologist | 39 N 25th St E, Superior, WI 54880-5269 | 2006-10-18 |
| 1104918416 | Dawn Moulton | Physical Therapist | 39 N 25th St E, Superior, WI 54880-5269 | 2006-09-28 |
| 1487745428 | David Harper | Speech-Language Pathologist | 39 N 25th St E, Superior, WI 54880-5269 | 2006-09-27 |
| 1255431557 | Celeste Pennington | Counselor | 39 N 25th St E, Superior, WI 54880-5269 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| 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 |
|---|---|---|---|---|
| 1639680705 | Tara Carine Carlson | Occupational Therapist | 2127 Grayden Ct, Superior, CO 80027-8223 | 2017-10-17 |
| 1700121936 | Leanne Brotski | Occupational Therapist | 948 Huron Peak Ave, Superior, CO 80027-6146 | 2012-11-28 |
| 1942582127 | Amy Miles Hartman | Occupational Therapist | 2600 S Rock Creek Pkwy, #36-202, Superior, CO 80027-4498 | 2011-09-14 |
| 1942588165 | Amanda Joyce Bauer | Occupational Therapist | 1884 Mallard Dr, Superior, CO 80027-4067 | 2011-07-22 |
| 1275610941 | Patricia Lynn Treinen | Occupational Therapist | 1552 E Riverbend St, Superior, CO 80027-8048 | 2006-11-01 |
| 1942827803 | Hannah Anyiwe | Occupational Therapist | 1612 N 37th St, Superior, WI 54880-5404 | 2020-06-26 |
| 1053968081 | Anastasia Pitzen | Occupational Therapist | 1915 N 34th St, Superior, WI 54880-5575 | 2019-08-23 |
| 1528628534 | Karianna Gunnarson | Occupational Therapist | 1612 N 37th St, Superior, WI 54880-5404 | 2019-06-20 |
| 1649751819 | Tara C. Carlson, Otr, LLC | Occupational Therapist | 2127 Grayden Ct, Superior, CO 80027-8223 | 2018-08-27 |
| 1902317092 | Tara Carlson | Occupational Therapist | 2127 Grayden Ct, Superior, CO 80027 | 2017-10-17 |
| Find all providers in SUPERIOR | ||||
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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.