MRS. PAMELA L FRASER (NPI# 1104093210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104093210 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA L FRASER |
| Credential | COTA |
| Practice Address |
5404 W Loomis Rd Greendale WI 53129-1411 |
| Mailing Address |
4115 S Quincy Ave Milwaukee WI 53207-4471 |
| Practice Telephone | 4144210088 |
| Mailing Telephone | 4144810284 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1013027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469685 | Pamela Jeanette Fraser | Massage Therapist | 14028 N Hwy 183 Ste D120, Austin, TX 78717-5992 | 2017-10-27 |
| 1053518027 | Pamela S. Fraser | Optometrist | 1075 Se Baseline St, Suite J, Hillsboro, OR 97123-4394 | 2007-07-02 |
| Street Address |
5404 W LOOMIS RD |
| City | GREENDALE |
| State | WI |
| Zip Code | 53129-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003866724 | Ggnsc Greenfield LLC | Skilled Nursing Facility | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2006-05-11 |
| 1558912691 | Bedrock Hcs At Greendale LLC | Skilled Nursing Facility | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2019-09-20 |
| 1659840700 | Taylor John Davies | Physical Therapist | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2018-11-19 |
| 1063933646 | Samantha Jean Walczak | Speech-Language Pathologist | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2017-07-04 |
| 1760902647 | Nicole Marissa Roth | Physical Therapist | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2017-06-22 |
| 1538611579 | Dycora Transitional Health - Greendale LLC | Skilled Nursing Facility | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2016-10-25 |
| 1891112405 | Natasha T El Hmaini | Nurse Practitioner | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2014-03-20 |
| 1316249808 | Theresa Pray | Physical Therapist | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2010-12-03 |
| 1255649943 | Timothy James Alters | Occupational Therapy Assistant | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2010-09-16 |
| 1285958249 | Chinwe D Opara | Nurse Practitioner | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2010-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579253 | Jewel E Schneider | Nurse Practitioner | 6801 Southway, Greendale, WI 53129 | 2017-03-09 |
| 1578019782 | Kristina Copeland | Nurse Practitioner | 6220 West Loomis Road, Greendale, WI 53129 | 2016-08-28 |
| 1568713162 | Monica A Judge | Acupuncturist | 5651 Broad Street, Greendale, WI 53129 | 2012-09-24 |
| 1295867364 | Allen Curphey Owen | Dentist | 5310 W Loomis Rd, Greendale, WI 53129 | 2007-03-12 |
| 1689720583 | Terry Michael Hough | Chiropractor | 5800 Broad St, Greendale, WI 53129 | 2007-01-25 |
| 1730282815 | Lindsay Kathryn Heus | Speech-Language Pathologist | 5405 W Loomis Rd, Greendale, WI 53129 | 2006-09-06 |
| 1477900561 | Therapy At Home LLC | Physical Therapist | 7711 Freeland Ct, Greendale, WI 53129 | 2016-05-18 |
| 1972871606 | Tony J Matuszak | Optometrist | 5497 S 76th St, Greendale, WI 53129 | 2011-12-08 |
| 1750589990 | Lisa Anne Balge | Occupational Therapist | 3111 West Rawson Avenue, Suite 215, Franklin, WI 53129 | 2007-07-10 |
| 1497282255 | Mobile Occupational Health and Wellness Urgent Care Solutions | Clinic/Center | 5055 S 84th St, Greendale, WI 53129-1006 | 2017-05-11 |
| Find all providers in zip 53129 | ||||
| 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 |
|---|---|---|---|---|
| 1033486444 | Angela Mary Jenkins | Occupational Therapy Assistant | 6022 Oakwood Ln, Greendale, WI 53129-2527 | 2011-11-30 |
| 1740542026 | Monica M Flesch | Occupational Therapy Assistant | 5700 Mockingbird Ln, Greendale, WI 53129-1442 | 2012-06-12 |
| 1255649943 | Timothy James Alters | Occupational Therapy Assistant | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2010-09-16 |
| 1144488404 | Dyan C Badora | Occupational Therapy Assistant | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2008-05-22 |
| 1164699575 | Catherine Elizabeth Klemowits | Occupational Therapy Assistant | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2008-05-14 |
| 1093981862 | Vikki Lee Addy | Occupational Therapy Assistant | 5404 W Loomis Rd, Greendale, WI 53129-1411 | 2008-05-01 |
| 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 |
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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.