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Ceres Group LLC

NPI 1760758023ActiveOrganization· Occupational Therapist· Appleton, WI

Occupational Therapist in Appleton, Wisconsin, registered in NPPES in March 2012. The authorized official on file is Theresa M. Petrenchik, PH.D,, OTR/L, Owner And Director.

Overview

NPI1760758023
StatusActive
Entity typeOrganization
NPI issuedMar 30, 2012
Last updated in NPPESMar 30, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X497626WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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