Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Badieh Widmer, OTR

Individual provider Occupational Therapist · NPI 1114086881

Badieh Widmer, OTR is an Occupational Therapist in Private Practice in Random Lake, Wisconsin. Qualified in 1997, 29 years ago. Practices with Phoenix Mountain Therapy LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

N546 Schroeter Dr
Random Lake, WI 53075-1272
Phone: (920) 207-3550
Fax: (920) 994-4606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3207-026 (WI)

Record details

NPI number1114086881
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Phoenix Mountain Therapy Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Random Lake