MRS. NICOLE RAE SANDERS (NPI# 1487137220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487137220 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE RAE SANDERS |
| Other Name | NICOLE RAE LAVIGNE |
| Credential | COTA/L |
| Practice Address |
2927 S Fish Hatchery Rd Fitchburg WI 53711 |
| Mailing Address |
2927 S Fish Hatchery Rd Fitchburg WI 53711-6498 |
| Practice Telephone | 6088166394 |
| Mailing Telephone | 6088196394 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5534-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 226000000X | Recreational Therapist Assistant | 5534-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835353 | Nicole Antoinette Sanders | Occupational Therapy Assistant | 9701 Veirs Dr, Rockville, MD 20850-3414 | 2019-01-27 |
| 1386154722 | Nicole Marie Sanders | Nurse Practitioner | 4411 Medical Dr Ste 300, San Antonio, TX 78229-3824 | 2017-10-11 |
| 1295265247 | Nicole Sanders | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2017-06-13 |
| 1144682774 | Nicole Sanders | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-03-23 |
| 1326445776 | Nicole Sanders | Counselor | 11 Route 111, Smithtown, NY 11787-3753 | 2014-12-01 |
| 1487075875 | Nicole L Sanders | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042 | 2014-01-02 |
| 1457795320 | Nicole L Sanders | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-04-23 |
| 1982973541 | Nicole Allison Sanders | Occupational Therapist | 4 Hazel Ave, Naugatuck, CT 06770-4706 | 2011-12-27 |
| 1306024138 | Nicole A Sanders | Speech-Language Pathologist | 9 Lacrue Ave, Glen Mills, PA 19342-1062 | 2008-02-04 |
| 1932394004 | Nicole Sanders | Rehabilitation Practitioner | 44847 Sierra Hwy, Lancaster, CA 93534-3226 | 2007-09-11 |
| Street Address |
2927 S FISH HATCHERY RD |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404374 | Marissa J Chiang | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2006-10-23 |
| 1235730334 | Haley Noel Moshier | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-11-04 |
| 1861099624 | Kelsey Conway | Physical Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-10-05 |
| 1649877713 | Jennifer Johnson | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-10-02 |
| 1427663541 | Shannon Kant | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1336754464 | Katie Campbell | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1194330134 | Olivia Ann Schorr | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1780298067 | Asha Fredrick | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-03 |
| 1891307401 | Taylor Wienkes | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-08-17 |
| 1225660665 | Natalie Laura Shirk | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| 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 |
|---|---|---|---|---|
| 1336754464 | Katie Campbell | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1427538677 | Mikayla Marie Freidel | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2018-08-17 |
| 1891272969 | Katie Kane | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2018-07-23 |
| 1730671876 | Katherine Engh | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2018-06-05 |
| 1447778766 | Michelle L Hollman | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2017-09-07 |
| 1194242164 | Nicole Hein | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2017-08-29 |
| 1790200681 | Jodi Garvin | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2017-08-11 |
| 1568983088 | Heidi Splinter | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2017-07-06 |
| 1598295446 | Leah Krantz | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2017-06-14 |
| 1376085704 | Keelin Kelly | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2016-11-16 |
| Find all providers in FITCHBURG | ||||
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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.