Carisa Dee Tacke
NPI 1962170837ActiveIndividual· Occupational Therapy Assistant· La Crescent, MN
Occupational Therapy Assistant in La Crescent, Minnesota, licensed in WI and MN, with an NPI issued in September 2021.
Overview
| NPI | 1962170837 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 3, 2021 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 563247 | WI |
| Occupational Therapy Assistant | 224Z00000X | 202463 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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