Martina Fields, OTA
Occupational Therapy Assistant in Brookfield, WI. Individual provider (NPI-1).
NPI number1104178003
StatusActive
Last updated in NPPESOct 3, 2012
Details
- NPI
- 1104178003
- Entity type
- Individual (NPI-1)
- Name
- Martina Fields
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2012
- Last updated
- Oct 3, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 4908 | WI | Yes |
Practice location
17280 W North Ave#104
Brookfield, WI 53045-4366
Phone 262-780-0707
Mailing address
17280 W North Ave#104
Brookfield, WI 53045-4366
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Occupational Therapy Assistant providers in Brookfield · All 2,564 providers in Brookfield
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