ANGELA EGGEN (NPI# 1669573192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669573192 |
| Entity Type | Individual |
| Full Name | ANGELA EGGEN |
| Credential | OTR |
| Practice Address |
216 Sunset Pl Neillsville WI 54456-1706 |
| Mailing Address |
N7465 E Snow Creek Rd Black River Falls WI 54615-5845 |
| Practice Telephone | 7636895385 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4086 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 360T3EG | 01 |
| MN | 616055700 | 05 | |
| WI | 41810700 | 05 |
| Street Address |
216 SUNSET PL |
| City | NEILLSVILLE |
| State | WI |
| Zip Code | 54456-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431843 | Donald George Hayward | Physician Assistant | 216 Sunset Pl, Memorial Medical Center, Neillsville, WI 54456-1706 | 2005-10-18 |
| 1699398628 | Kimberly L Henry | Occupational Therapy Assistant | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2020-05-26 |
| 1588299044 | Emily Ann Coates | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2020-03-05 |
| 1972142925 | Amanda Christine Malyuk | Nurse Practitioner | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-12-22 |
| 1518527134 | Taryn Loos | Physical Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-06-17 |
| 1093374084 | Jordyn Dean Pieper | Family Medicine | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2019-06-12 |
| 1003365958 | Kathryn Pittz | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2016-10-03 |
| 1437608304 | Benjamin Mohr | Dietitian, Registered | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2016-10-03 |
| 1821472986 | Memorial Hospital Inc | Non-Pharmacy Dispensing Site | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2015-07-17 |
| 1720478159 | Barry Jakel | Physical Therapy Assistant | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504840 | Wendy Langreck | Physical Therapy Assistant | N4036 Marg Ave, Neillsville, WI 54456 | 2017-05-08 |
| 1023442084 | Kayla E Martin | Physical Therapist | Marshfield Medical Center- Neillsville, 216 Sunset Place, Neillsville, WI 54456 | 2013-08-27 |
| 1942553136 | Nicole Renee Symons | Occupational Therapy Assistant | 316 Sunset Pl, Neillsville, WI 54456 | 2012-10-25 |
| 1679883433 | Sandra Lee Back | Registered Nurse | 1402 Hewett St, Neillsville, WI 54456 | 2010-10-14 |
| 1497967301 | Abby Vans Inc. | Non-emergency Medical Transport (VAN) | W5621 Todd Road, Neillsville, WI 54456 | 2007-05-04 |
| 1487637823 | Linda L Kyser | Dietitian, Registered | 216 Sunset Place, Memorial Medical Center Memorial Hospital Inc, Nellsville, WI 54456 | 2005-11-21 |
| 1013017938 | Louis A Benoist | Orthopaedic Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-09-22 |
| 1114955275 | Constante S. Avecilla | Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-06-29 |
| 1992780464 | Memorial Hospital, Inc. | Skilled Nursing Facility | 216 Sunset Place, Memorial Medical Center Health & Rehabilitation, Neillsville, WI 54456 | 2005-12-07 |
| 1295877363 | John Scaletta D.d.s.ltd. | Dentist | 808 West Fifth St., Neillsville, WI 54456-0067 | 2007-02-13 |
| Find all providers in zip 54456 | ||||
| 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 |
|---|---|---|---|---|
| 1588299044 | Emily Ann Coates | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2020-03-05 |
| 1003365958 | Kathryn Pittz | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2016-10-03 |
| 1457443715 | Darci Mahoney | Occupational Therapist | 216 Sunset Pl, Neillsville, WI 54456-1706 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
| 1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
| 1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
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| City | NEILLSVILLE |
| Zip Code | 54456 |
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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.