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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3259-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 40814600 | 05 |
Street Address |
215 N WEBSTER AVE |
City | GREEN BAY |
State | WI |
Zip Code | 54301-4813 |
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 |
Find all providers in the same location |
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 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 |
---|---|---|---|---|
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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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.