DEANNA P DORAISWAMY OT
NPI 1104191824
Occupational Therapist in Green Bay, WI

Active since March 13, 2012
2961 SAINT ANTHONY DR, GREEN BAY, WI 54311(920) 468-0861 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 14, 2018, May 11, 2017 (2 updates tracked since 2017).

About Deanna P Doraiswamy Ot NPPES

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

DEANNA P DORAISWAMY OT (NPI 1104191824) is an individual occupational therapist in Green Bay, Wisconsin, licensed in Virginia (0119005787) and active in the NPI registry since March 2012. She maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1104191824
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameDEANNA P DORAISWAMYCredential: OT
Location Address2961 SAINT ANTHONY DRGreen Bay, WI 54311
Mailing Address2060 E Plank Rd Unit 3Appleton, WI 54915-7045 · (920) 655-7340
Sole ProprietorNo
Enumeration DateMarch 13, 2012
Last NPPES UpdateJune 14, 20182 updates tracked since enumeration
NPI 1104191824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in VA · 0119005787 Licensed in WI · 4982-026
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.

2961 SAINT ANTHONY DR, Green Bay, WI 54311

Secondary Practice Location 1

Location 18111 Tis Well DrAlexandria, VA 22306-3211 · Phone (703) 373-3494

Other Providers at the Same Location NPPES 16

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

Occupational Therapy Assistant
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311
Occupational Therapy Assistant
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311
Skilled Nursing Facility
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311
Physical Therapist
2961 SAINT ANTHONY DR, PARKVIEW MANOR, ATTENTION EMILY PT
GREEN BAY, WI 54311
Physical Therapy Assistant
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311
Physical Therapy Assistant
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311
Occupational Therapist
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311
Speech-Language Pathologist
2961 SAINT ANTHONY DR
GREEN BAY, WI 54311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104191824, enumerated as an "individual" on March 13, 2012.

The provider is located at 2961 SAINT ANTHONY DR GREEN BAY, WI 54311 and the phone number is (920) 468-0861.

Occupational Therapist with taxonomy code 225X00000X.