LISA M MEHRENS (NPI# 1568508935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568508935 |
| Entity Type | Individual |
| Full Name | LISA M MEHRENS |
| Credential | COTA |
| Practice Address |
3305 N Ballard Rd Suite C Appleton WI 54911-9001 |
| Mailing Address |
600 W Michigan St Appleton WI 54911-1946 |
| Practice Telephone | 9207359234 |
| Mailing Telephone | 9204283840 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1990 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41042700 | 05 |
| Street Address |
3305 N BALLARD RD SUITE C |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366996613 | Molly Schuessler | Physical Therapy Assistant | 3305 N Ballard Rd, Ste C, Appleton, WI 54911-9001 | 2016-08-03 |
| 1093185290 | Julie Taylor | Physical Therapist | 3305 N Ballard Rd, Appleton, WI 54911-9001 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| 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 |
|---|---|---|---|---|
| 1578099131 | Jerry Smith | Occupational Therapy Assistant | 2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873 | 2017-05-02 |
| 1184178279 | Jenna Becker | Occupational Therapy Assistant | N9437 Sara Ln, Appleton, WI 54915-5206 | 2016-08-07 |
| 1003221888 | Eric Dybala | Occupational Therapy Assistant | 3538 Northridge Ct, Appleton, WI 54914-6738 | 2014-06-30 |
| 1558708438 | Krista Mcduffee | Occupational Therapy Assistant | 510 E Wisconsin Ave Ste 2, Appleton, WI 54911-4865 | 2013-05-31 |
| 1770850158 | Amy Brylski | Occupational Therapy Assistant | W6261 Spencer Rd, Appleton, WI 54914-7528 | 2011-11-29 |
| 1659648855 | Amy Marie Paine | Occupational Therapy Assistant | 3300 West Brewster Street, Appleton, WI 54914-1699 | 2011-11-17 |
| 1548548852 | Esther Lea Rolfe | Occupational Therapy Assistant | 1426 N Superior St, Apt. 3, Appleton, WI 54911-3645 | 2011-08-03 |
| 1568751808 | Melissa J Gitter | Occupational Therapy Assistant | 1041 E Capitol Dr, Appleton, WI 54911-1436 | 2011-04-06 |
| 1669626446 | Heather Jean-wittman Smith | Occupational Therapy Assistant | 1101 E South River St, Appleton, WI 54915-2223 | 2008-11-06 |
| 1942497847 | Sheila May Banda | Occupational Therapy Assistant | 2600 S. Heritage Woods Drive, Appleton, WI 54915-1408 | 2007-09-25 |
| Find all providers in APPLETON | ||||
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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.