MR. PAUL JOSEPH DERY C.O.T.A. NPI 1003023433

Occupational Therapy Assistant in Altoona, WI

NPI 1003023433 Individual Male Occupational Therapy Assistant

About PAUL DERY

Paul Dery is a provider established in Altoona, Wisconsin and his medical specialization is occupational therapy assistant. The NPI number of Paul Dery is 1003023433 and was assigned on May 2007. The practitioner's primary taxonomy code is 224Z00000X with license number 871-027 (WI). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Paul Dery is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003023433

Provider NameMR. PAUL JOSEPH DERY C.O.T.A.
Provider Location Address2512 NEW PINE DR ALTOONA, WI 54720
Provider Mailing Address2149 15TH ST EAU CLAIRE, WI 54703
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-16-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code224Z00000X
ClassificationOccupational Therapy Assistant
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.871-027
License StateWI
Taxonomy DescriptionAn 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.

Business Address

MR. PAUL JOSEPH DERY C.O.T.A.
2512 NEW PINE DR
ALTOONA, WI
ZIP 54720
Phone: (715) 833-0400
Fax: (715) 833-0397

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Mailing Address

MR. PAUL JOSEPH DERY C.O.T.A.
2149 15TH ST
EAU CLAIRE, WI
ZIP 54703
Phone: (715) 839-9127



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
40880800MEDICAID (05)WI

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790739712DR. STEVEN D COOK MD
Individual
Family Medicine (Adult Medicine)2512 NEW PINE DR
ALTOONA, WI 54720
(715) 832-0707
1386718005EXTENDICARE HOMES, INC.
Organization
Skilled Nursing Facility2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1659583334MS. JODY RAE PATSCOT PTA
Individual
Physical Therapy Assistant2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1902019227MS. KELLY JO SALTER COTA
Individual
Occupational Therapy Assistant2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1962615104MRS. JEAN ADELE GALEP COTA
Individual
Occupational Therapy Assistant2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1285848200 ERIC MARTIN KAUFFMANN MPT
Individual
Physical Therapist2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1427262872 ERIN L SMITH MS, CCC-SLP
Individual
Speech-Language Pathologist2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1720292105 GINA L. OSTROWSKI PT
Individual
Physical Therapist2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1437363397MRS. AUTUMN RENEE SIMPSON PTA
Individual
Physical Therapy Assistant2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1518274018 LINDSEY CYNTHIA HART PTA
Individual
Physical Therapy Assistant2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1588946420MRS. KRISTI MARIE KASTELIC COTA
Individual
Occupational Therapy Assistant2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1740679547FMG NEW PINE DRIVE WISCONSIN LLC
Organization
Skilled Nursing Facility2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1477969350 MEGAN ZIEMANN M.S. SLP-CCC
Individual
Speech-Language Pathologist2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1760900559NSH ALTOONA LLC
Organization
Skilled Nursing Facility2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400
1619180866MRS. SARAH ELIZABETH RADCLIFF OTR
Individual
Occupational Therapist2512 NEW PINE DR
ALTOONA, WI 54720
(715) 833-0400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.