SUNSHINE J BROEREN OTRL
NPI 1992867659
Occupational Therapist in Amery, WI

Active since December 15, 2006
505 KELLER AVE S, AMERY, WI 54001(715) 268-6900(715) 268-6895 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sunshine J Broeren Otrl NPPES

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

SUNSHINE J BROEREN OTRL (NPI 1992867659) is an individual occupational therapist in Amery, Wisconsin, licensed in Wisconsin (3961026) and active in the NPI registry since December 2006. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1992867659
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSUNSHINE J BROERENCredential: OTRL
Location Address505 KELLER AVE SAmery, WI 54001
Mailing Address505 Keller Ave SAmery, WI 54001 · (715) 268-6900 · Fax (715) 268-6895
Fax(715) 268-6895
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1992867659 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
License✔ Licensed in WI · 3961026
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.
505 KELLER AVE S, Amery, WI 54001

Other Identifiers 4

OtherHP48075Health Partners
Other6403644Medica Ins
Medicaid40864600WI
Other156L4BRBcbs Of Mn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunshine J Broeren Otrl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688947187
PECOS Enrollment IDI20251120001996

Medicare Billing Reassignment

Medicare enrollment records show Sunshine Broeren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
20 LAKE ST N, STE 210
Forest Lake, MN 55025
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Speech-Language Pathologist
505 KELLER AVE S
AMERY, WI 54001
Occupational Therapist
505 KELLER AVE S
AMERY, WI 54001
Occupational Therapist
505 KELLER AVE S
AMERY, WI 54001
Speech-Language Pathologist
505 KELLER AVE S
AMERY, WI 54001
Occupational Therapy Assistant
505 KELLER AVE S
AMERY, WI 54001
Occupational Therapy Assistant
505 KELLER AVE S
AMERY, WI 54001
Speech-Language Pathologist
505 KELLER AVE S
AMERY, WI 54001
Speech-Language Pathologist
505 KELLER AVE S
AMERY, WI 54001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunshine Broeren's NPI number?

The NPI number for Sunshine Broeren is 1992867659. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Sunshine Broeren located?

Sunshine Broeren practices at 505 Keller Ave S, Amery, WI 54001. The listed phone number is (715) 268-6900.

What is Sunshine Broeren's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Sunshine Broeren enrolled in Medicare?

Yes. Sunshine Broeren is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sunshine Broeren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunshine Broeren reassigns Medicare benefits to Fairview Express Care (Forest Lake, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunshine Broeren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sunshine Broeren was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.