Organization
Birch Boutique LLC
Provider's NPPES record last updated: February 29, 2024
Overview
- Entity Type
- Organization
- NPI
- 1154045888
- Primary Specialty
- Mastectomy Fitter
- Practice Location
- Antigo, Wisconsin
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:59 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Mastectomy Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Taxonomy code 224900000X Durable Medical Equipment & Medical Supplies
Suppliers
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Taxonomy code 332B00000X
Practice Locations
Practice Location
612 Clemont St
Ste #8
Antigo, Wisconsin 54409-1988
Phone: (715) 350-7174
Record Information
- Enumeration Date
- September 27, 2022
- Provider's NPPES Record Last Updated
- February 29, 2024
- Certification Date
- February 29, 2024
- NPISignal NPPES Dataset
- August 2026
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