Rainbow Tree Connections

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RAINBOW TREE CONNECTIONS

Practice address

477 Perch Lake Rd
Hudson, WI 54016-6847

Phone

(715) 205-2703

NPI assigned

Jun 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Haverly, OT/LNPI 1275973042

Title

Owner

Phone

(715) 205-2703

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Renee Haverly, MA/OT

  • Pediatric Occupational Therapist
  • Hudson, WI
  • NPI 1275973042
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1053935148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 PERCH LAKE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540166847",
            "telephone_number": "715-205-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 PERCH LAKE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540166847",
            "telephone_number": "715-205-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW TREE CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "HAVERLY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-205-2703",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James David Purdy, D.D.S.
• Kimberly Marie Quayle, OTR
• Wafa A Qureshi, DDS
• Elizabeth Joanne Radford, CNM
• Alexa Anastasia Raehsler
• Rainbow Tree Therapies, LLC
• Randi L. Erickson
• Brenda Jo Randleman, PTA
• Courtney Bliss Randolph, LPCC, LPC, LADC
• Mark Hampton Randolph, CSAC, CSIT, LADC

• Home Health Agency in Hudson, WI
• Providers in Hudson, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.