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

Individual provider Occupational Therapist · NPI 1629426762

Bethany Domoto, OTR/L is an Occupational Therapist in Madison, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

210 Dempsey Rd
Madison, WI 53714
Phone: (815) 355-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 Dempsey Rd, Madison, WI 53714 — (815) 355-9999

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5855-26 (WI)

Record details

NPI number1629426762
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESNovember 13, 2019

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