SCOTT WADE OLENICZAK


Address: 215 N Webster Ave, Green Bay, WI 54301-4813
Phone: 9204315588

SCOTT WADE OLENICZAK (NPI# 1740496132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740496132
Entity Type Individual
Full Name SCOTT WADE OLENICZAK
Practice Address 215 N Webster Ave
Green Bay
WI 54301-4813
Mailing Address 3446 Edinburgh Rd
Green Bay
WI 54311-7284
Practice Telephone 9204315588
Practice Fax Number 9204457090
Enumeration Date 2007-05-15
Last Update Date 2019-10-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 3259-026 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 40814600 05

Office Location

Street Address 215 N WEBSTER AVE
City GREEN BAY
State WI
Zip Code 54301-4813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235124157 Roland Joseph Schmidt Specialist/Technologist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-09-16
1164673810 Linda K Watkins Physical Therapy Assistant 215 N Webster Ave, Green Bay, WI 54301-4813 2008-09-30
1255507604 Robert Paul Neustifter Physical Therapy Assistant 215 N Webster Ave, Green Bay, WI 54301-4813 2008-05-06
1376735373 Bellin Memorial Hospital General Practice 215 N Webster Ave, Green Bay, WI 54301-4813 2007-08-14
1386607554 Bellin Psychiatric Center Inc Psychiatry & Neurology 215 N Webster Ave, Green Bay, WI 54301-4813 2006-04-10
1902882566 Michelle M Rentmeester Occupational Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-15
1679558704 Lori Ann Lamers Physical Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-13
1265417869 David Allen Groop Physical Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-07
1457336992 Andrew J Taber Physical Therapist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-12-07
1073508743 James R Beversdorf Specialist/Technologist 215 N Webster Ave, Green Bay, WI 54301-4813 2005-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
Find all providers in zip 54301

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558604462 Alyssa C Cormier Occupational Therapist 607 Edelweiss Dr, Green Bay, Green Bay, WI 54302-5117 2013-03-28
1558683136 Angela Bartels Occupational Therapist 2801 S. Webster Ave, Green Bay, WI 54301 2010-02-23
1790917664 Kristen Leigh Kosman Occupational Therapist 1328 Reed Street, Green Bay, WI 54303 2009-08-11
1427289032 Kristin Marie Delforge Occupational Therapist 3137 Ridgeview Ter, Green Bay, WI 54301-1516 2009-07-30
1003072497 Joanne Mary Wirtz Occupational Therapist 1275 S Robinson Ave, Green Bay, WI 54311-5537 2008-08-05
1528235900 Mary Kathleen Maloney Occupational Therapist 1030 S Monroe Ave, Green Bay, WI 54301-3206 2008-05-14
1629240353 Patricia Meister Occupational Therapist 600 S. Webster Ave, Green Bay, WI 54301-3503 2008-04-02
1346428414 Kimi Marie Kelly Occupational Therapist 2661 S Broadway, Green Bay, WI 54304-5305 2008-01-31
1609069608 Linda Marie Socker Occupational Therapist 812 S Fisk Street, Suite 109, Green Bay, WI 54304 2007-08-22
1326260746 Molly Ann Huben Occupational Therapist 215 North Webster, Green Bay, WI 54301 2007-05-03
Find all providers in GREEN BAY

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City GREEN BAY
Zip Code 54301

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Dataset Information

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.

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