MRS. LISA POLHEBER (NPI# 1942333653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942333653 |
| Entity Type | Individual |
| Full Name | MRS. LISA POLHEBER |
| Credential | COTA |
| Practice Address |
3400 E Racine St Janesville WI 53546-2344 |
| Mailing Address |
4070 Greenbriar Dr Janesville WI 53546-4445 |
| Practice Telephone | 6083738353 |
| Mailing Telephone | 2628944115 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1843-027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40862300 | 05 |
| Street Address |
3400 E RACINE ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583896 | Richard Edward Galgon | Anesthesiology | 3400 E Racine St, Janesville, WI 53546-2344 | 2006-01-18 |
| 1043877707 | Emily Fern Ziegler | Physical Therapist | 3400 E Racine St, Janesville, WI 53546-2344 | 2019-05-28 |
| 1972077808 | Jessica Trepka Hoyt | Physical Therapy Assistant | 3400 E Racine St, Janesville, WI 53546-2344 | 2019-01-14 |
| 1447798525 | Shaheera Chughtai | Internal Medicine | 3400 E Racine St, Janesville, WI 53546-2344 | 2017-02-08 |
| 1295289122 | Olga Lester | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2016-08-09 |
| 1235682964 | Teresa L. Nehls | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2016-07-29 |
| 1285020552 | Ssm Health Care of Wisconsin Inc | Clinical Medical Laboratory | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-04-13 |
| 1548654676 | Ssm Health Care of Wisconsin Inc | General Acute Care Hospital | 3400 E Racine St, Janesville, WI 53546-2344 | 2015-03-26 |
| 1033517677 | Jennifer Sue Canik | Occupational Therapist | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-12-14 |
| 1225445307 | Kelly Mcmeans | Nurse Anesthetist, Certified Registered | 3400 E Racine St, Janesville, WI 53546-2344 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| 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 |
|---|---|---|---|---|
| 1902217664 | Sheila O'brien | Occupational Therapy Assistant | 2741 Affirmed Dr, Janesville, WI 53546-4416 | 2014-05-15 |
| 1063841781 | Cindy Williams | Occupational Therapy Assistant | 1700 S River Rd, Janesville, WI 53546-4500 | 2013-11-04 |
| 1144557331 | Kendra Lee Allen | Occupational Therapy Assistant | 36 S Sumac Dr, Janesville, WI 53545-2135 | 2009-11-09 |
| 1992342299 | Madelynn J Bamford | Occupational Therapy Assistant | 580 N Washington St, Janesville, WI 53548-2984 | 2019-12-05 |
| 1366088254 | Kari L Krauter | Occupational Therapy Assistant | 580 N Washington St, Janesville, WI 53548-2984 | 2019-11-26 |
| 1932601861 | Roger A. Debroux | Occupational Therapy Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2018-03-07 |
| 1235631227 | Dorraine M. Hallett | Occupational Therapy Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2018-03-06 |
| 1790287837 | Tiffany M. Miller | Occupational Therapy Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2018-03-05 |
| 1306374988 | Brandi Larson | Occupational Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2017-05-26 |
| 1982132759 | Katilin Erdmann | Occupational Therapy Assistant | 1702 S River Rd, Janesville, WI 53546-5648 | 2017-05-24 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.