MR. PETER ANDREW BOEHNLEIN COTA
NPI 1073786968
Occupational Therapy Assistant in Green Bay, WI

Active since April 11, 2008
1640 SHAWANO AVE, GREEN BAY, WI 54303(920) 499-5177 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Peter Andrew Boehnlein Cota NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER ANDREW BOEHNLEIN COTA (NPI 1073786968) is an individual occupational therapy assistant in Green Bay, Wisconsin, licensed in Wisconsin (421-027) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1073786968
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameMR. PETER ANDREW BOEHNLEINCredential: COTA
Location Address1640 SHAWANO AVEGreen Bay, WI 54303-3214
Mailing Address3151 White Birch StKaukauna, WI 54130-3938 · (920) 766-3918
Sole ProprietorNo
Enumeration DateApril 11, 2008
NPI 1073786968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in WI · 421-027
Definition

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.

1640 SHAWANO AVE, Green Bay, WI 54303

Other Identifiers 1

Medicaid8484097171WI

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1640 SHAWANO AVE
GREEN BAY, WI 54303
Occupational Therapist
1640 SHAWANO AVE
GREEN BAY, WI 54303
Skilled Nursing Facility
1640 SHAWANO AVE
GREEN BAY, WI 54303
Physical Therapist
1640 SHAWANO AVE
GREEN BAY, WI 54303
Speech-Language Pathologist
1640 SHAWANO AVE
GREEN BAY, WI 54303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073786968, enumerated as an "individual" on April 11, 2008.

The provider is located at 1640 SHAWANO AVE GREEN BAY, WI 54303 and the phone number is (920) 499-5177.

Occupational Therapy Assistant with taxonomy code 224Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.