Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Brooke Tank , COTA

Occupational Therapy Assistant β€’ Appleton, WI

Active NPI 1508298084 Individual Practitioner Female Practitioner
Practice location in NPPES

325 E Florida Ave
Appleton, WI 549111325

Call 9207317310 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

325 E Florida Ave

Appleton, WI 549111325

Telephone 9207317310
Organization at the Same NPPES Address or Phone
Tdr, Inc. Facility NPI 1386642874

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

61 active clinicians are listed under Occupational Therapy Assistant with a practice address in Appleton, WI (1,463 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 61 clinicians have the CMS telehealth indicator.

0% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-14
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES WI 302705

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.

Occupational Therapy Assistant

NUCC Taxonomy Code: 224Z00000X

License # reported to NPPES WI 4973-27

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Stephanie Bitzan

Physical Therapist

NPI 1225313877

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location December 14, 2020

Registered at 325 E FLORIDA AVE, APPLETON, WI 549111325 (Tel: 9207317310)

βœ…
NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2013

Registered at 607 E BRONSON RD, SEYMOUR, WI 541651040 (Tel: 9208336856)

πŸ“
Business Mailing Address (Initial Record) August 06, 2013

Registered at 301 S MAIN ST, BLACK CREEK, WI 541069518 (Tel: 9204191095)

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2013

Recorded as BROOKE TANK, COTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Occupational Therapy Assistant (license number reported to NPPES: WI 302705)

🟒
Initial NPI Registration & Enumeration August 06, 2013

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1508298084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2013
Last Update: December 14, 2020
Sole Proprietor: No

Mailing Address

301 S Main St

Black Creek, WI 541069518

Phone: 9204191095

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.