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

Miranda L. Peterson, OTR

Individual provider Occupational Therapist · NPI 1811757164

Miranda L. Peterson, OTR is an Occupational Therapist in Private Practice in Oshkosh, Wisconsin. Qualified in 2020, 6 years ago. Practices with Oasis Therapy Services LLC, a 74-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2024
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

631 Hazel St
Oshkosh, WI 54901-4600
Phone: (920) 252-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 855426 (WI)

Record details

NPI number1811757164
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Oasis Therapy Services Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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