CMS-1500 Box 24J / 33a • NPI
1285382556
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225X00000X (CMS 67)
Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
Box 32 Service Location & ZIP+4
2820 ROOSEVELT RD, MARINETTE, WI, 54143-3834
✓ 9-Digit EDI 837 ZIP+4 (54143-3834)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1285382556 (THEA J AGUON, OT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1285382556)
Medicare Beneficiaries
36
Total Billed Services
309
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$9,406.75
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 134 |
97140 | Therapy procedure using manual technique, each 15 minutes | 46 |
97166 | Evaluation for occupational therapy, typically 45 minutes | 22 |
97530 | Therapy procedure using functional activities | 51 |
97535 | Training for self-care or home management, each 15 minutes | 20 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1285382556 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | THEA J AGUON, OT |
| Plain-English Specialty | Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: 225X00000X (Occupational Therapist) |
| Certifying / Licensing Body | National Board for Certification in Occupational Therapy (NBCOT) |
| Practice Location Address | 2820 ROOSEVELT RD, MARINETTE, WI, 54143-3834 |
| Practice Telephone / Fax | Tel: (715) 735-5225 | Fax: (715) 735-5388 |
| Administrative Mailing Address | PO BOX 22487, GREEN BAY, WI, 54305-2487 |
| Enumeration & Last Sync | Enumerated: 2022-03-15 | CMS Record Updated: 2023-09-05 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (225X00000X)
What Does Taxonomy Code 225X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (THEA J AGUON, OT)
Typical CPT / Diagnostic Procedures:- Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
- Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics
- Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: WI | License: 7183-26 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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