ANGELA TRACEY GOLTZ (NPI# 1407300395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407300395 |
| Entity Type | Individual |
| Full Name | ANGELA TRACEY GOLTZ |
| Credential | OTR |
| Practice Address |
S3746 Bakkom Rd Viroqua WI 54665-8150 |
| Practice Telephone | 6086320142 |
| Mailing Telephone | 6086320142 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5461-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
S3746 BAKKOM RD |
| City | VIROQUA |
| State | WI |
| Zip Code | 54665-8150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178644 | Sarah Ann Gronemus | Occupational Therapist | 407 South Main Street, Suite 302, Viroqua, WI 54665 | 2019-01-29 |
| 1356836399 | Kali Roesler | Occupational Therapy Assistant | E7404 Cr-bb, Viroqua, WI 54665 | 2018-06-22 |
| 1679082226 | Tri-state Regional Ambulance, Inc. | Non-emergency Medical Transport (VAN) | 110 Brendel Lane, Suite B, Viroqua, WI 54665 | 2017-09-27 |
| 1053867200 | Jerrodf Lee Getter | Physical Therapy Assistant | S4602a Cty Road S, Viroqua, WI 54665 | 2016-08-28 |
| 1023496387 | Katrina M Johnson | Social Worker | 210 Airport Road, Suite 103, Viroqua, WI 54665 | 2015-05-07 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| 1831472083 | Longview Home for Boys | Community/Behavioral Health | E4600 Hwy 56, Viroqua, WI 54665 | 2011-09-23 |
| 1598092793 | Stephen James Groth | Pharmacist | S 5970 County N, Viroqua, WI 54665 | 2009-11-09 |
| 1265606842 | Kathryn Ann Sutton-anderson | Physical Therapist | 507 South Main Street, Viroqua, WI 54665 | 2008-04-15 |
| 1346385754 | Thomas Krieger-fritsch | Chiropractor | 114 Fs Dr Ste A, Viroqua, WI 54665 | 2007-02-21 |
| Find all providers in zip 54665 | ||||
| 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 |
|---|---|---|---|---|
| 1083178644 | Sarah Ann Gronemus | Occupational Therapist | 407 South Main Street, Suite 302, Viroqua, WI 54665 | 2019-01-29 |
| 1699162503 | Elizabeth Johnson | Occupational Therapist | E6717 County Road Nn, Viroqua, WI 54665-7724 | 2015-04-17 |
| 1124412499 | Jenelle Boyer | Occupational Therapist | 407 S Main St, Suite 302, Viroqua, WI 54665-2100 | 2015-03-25 |
| 1720472913 | Jennifer Pedersen | Occupational Therapist | 407 S Main St, Suite 302, Viroqua, WI 54665-2100 | 2015-03-25 |
| 1245621614 | Claire Sheldon | Occupational Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2015-02-06 |
| 1770973257 | Kimberly Simonson | Occupational Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2015-02-04 |
| 1093103095 | Traci Waters | Occupational Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2014-12-30 |
| 1467840694 | Colleen Clarice Ruebsamen | Occupational Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2014-12-22 |
| 1265798995 | Kassi Evelyn Olerud | Occupational Therapist | E7404a County Road Bb, Viroqua, WI 54665-7502 | 2012-04-06 |
| 1578720553 | Kathryn Rice | Occupational Therapist | 614 S Rock Ave, Viroqua, WI 54665-1936 | 2008-05-19 |
| Find all providers in VIROQUA | ||||
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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.