1285361790 NPI number — MRS. AMBER RAE RICE OCCUPATIONAL THERAPI

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285361790 NPI number — MRS. AMBER RAE RICE OCCUPATIONAL THERAPI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICE
Provider First Name:
AMBER
Provider Middle Name:
RAE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OCCUPATIONAL THERAPI
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PEPLINSKI
Provider Other First Name:
AMBER
Provider Other Middle Name:
RAE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285361790
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 COMMERCE DR STE 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNT PLEASANT
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53406-3700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-497-7270
Provider Business Mailing Address Fax Number:
877-540-0135

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 COMMERCE DR STE 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT PLEASANT
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53406-3700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-497-7270
Provider Business Practice Location Address Fax Number:
877-540-0135
Provider Enumeration Date:
08/04/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  6000-26 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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