BROOKE TANK (NPI# 1508298084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508298084 |
| Entity Type | Individual |
| Full Name | BROOKE TANK |
| Credential | COTA |
| Practice Address |
607 E Bronson Rd Seymour WI 54165-1040 |
| Mailing Address |
301 S Main St Black Creek WI 54106-9518 |
| Practice Telephone | 9208336856 |
| Mailing Telephone | 9204191095 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 302705 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 4973-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
607 E BRONSON RD |
| City | SEYMOUR |
| State | WI |
| Zip Code | 54165-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235106725 | Good Shepherd Home, Ltd | Assisted Living Facility | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2006-03-02 |
| 1043855190 | Alissa A Huff | Spec/Tech, Pathology | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2019-11-13 |
| 1497046031 | Jane Murray | Physical Therapist | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2011-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851779789 | Kalli Vandenheuvel | Specialist/Technologist | W3068 Kortney Lane, Seymour, WI 54165 | 2015-05-12 |
| 1316110562 | Christine Sue Peterson | Occupational Therapy Assistant | W 1587 County Highway Ee, Seymour, WI 54165 | 2008-04-09 |
| 1073618849 | General Dentistry of Seymour Inc | Dentist | 344 State Hwy 54, Ste 1, Seymour, WI 54165 | 2006-09-14 |
| 1235234063 | Donald Joseph Hoff Jr. | Dentist | 344 State Highway 54, Ste 1, Seymour, WI 54165 | 2006-09-14 |
| 1871517565 | Mary Therese Leveille | Registered Nurse | 1100 Orchard St, Seymour, WI 54165 | 2006-07-26 |
| 1114995164 | Good Shepherd Home, Ltd | Physical Therapist | 958 Foote Street, Seymour, WI 54165 | 2006-03-08 |
| 1023125416 | Barbara A Pesola | Nurse Practitioner | 1100 Orchard Dr, Seymour, WI 54165 | 2006-08-23 |
| 1154340727 | Steven D Turzinski | Family Medicine | 958 Foote St, Seymour, WI 54165-1044 | 2006-07-18 |
| 1376105387 | Heather Lynn Lensmire | Nurse Practitioner | 958 Foote St, Seymour, WI 54165-1044 | 2019-07-01 |
| 1841701893 | Heidi Louisa Gillis | Physical Therapy Assistant | 958 Foote St, Seymour, WI 54165-1044 | 2017-10-17 |
| Find all providers in zip 54165 | ||||
| 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 |
|---|---|---|---|---|
| 1851778914 | Jordan Leigh Duchi | Occupational Therapy Assistant | 329 Skaggs Ct, Seymour, IN 47274-1184 | 2015-04-28 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| 1013268366 | Melissa Lynn Orellana | Occupational Therapy Assistant | 1045 Rebecca Ct, Seymour, IN 47274-4604 | 2012-09-26 |
| 1861750556 | Robyn Holly | Occupational Therapy Assistant | 76 Botsford Rd, Seymour, CT 06483-2304 | 2012-05-01 |
| 1316110562 | Christine Sue Peterson | Occupational Therapy Assistant | W 1587 County Highway Ee, Seymour, WI 54165 | 2008-04-09 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROOKE TANK.
| 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.