Mercedes Lynn Antolak, OTR/L
NPI 1730885047ActiveIndividual· Occupational Therapist· Sparta, WI
Occupational Therapist (OTR/L) in Sparta, Wisconsin, licensed in WI and MN, with an NPI issued in February 2023. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1730885047 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Feb 7, 2023 |
| Last updated in NPPES | Aug 25, 2023 |
| Certified by provider | Aug 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 8182-26 | WI |
| Occupational Therapist | 225X00000X | 5989 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (WI) |
|---|
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