MS. THERESA ANDERSON (OTR) – Occupational Therapist, NPI 1275870784

Occupational Therapist

MS. THERESA ANDERSON (OTR) is a healthcare provider. based in Kenosha, Wisconsin. specializing in Occupational Therapist. They hold the professional credentials OTR. They hold a License No. 5234-26 (WI). The NPI Number for MS. THERESA ANDERSON (OTR) is 1275870784

Main info

Female

14 Years Of Experience

Accepts Medicare Assignment

Name

MS. THERESA ANDERSON (OTR)

NPI

1275870784

Phone

(262) 694-8800

Address

8633 32ND AVE

Enumeration Date

4 January 2013

Last Update Date

4 January 2013

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2627816930

Graduation Year

2012 (14 years ago)

PAC ID

8921313370

Group Practice PAC ID

1850497736

Professional Enrollment ID

I20150814013183

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MS. THERESA ANDERSON (OTR)

8633 32ND AVE
KENOSHA, WI 531425187
Phone: (262) 694-8800
Fax: (262) 694-9125
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53142)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1850497736View full group profile

Name	Specialty	State
BETH ANN FREISLEBEN (OT)	Occupational Therapist In Private Practice	WI
LAUREN MARIE BOLDT (OTR)	-	WI
ALYSSA MARIE FENSKE	-	MN
MRS. TARA RENE DULL (PT)	Physical Therapist In Private Practice	WI
MRS. SUSAN L SCOTT (PT)	-	WI
ASHLEY MICHELLE BURNETT	-	WI
MRS. ERIKA LYNN HUBERT (OTR/L)	-	WI
CATHERINE N ELWOOD	-	WI
JULIE SHAFER (OTR)	-	WI
MRS. WENDY ANN MIKLASZEWSKI (OTR)	-	WI