Lisa R Knoblauch, MOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4333-026 Issued in WI

Practice address

4545 N 92ND St
Wauwatosa, WI 53225-4807

Phone

(414) 847-3098

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1073734596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 W FIELDPOINTE DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511223",
            "telephone_number": "414-217-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532254807",
            "telephone_number": "414-847-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLAUCH",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "MOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4333-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40895900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin David Kluge, PHARMD, MBA
• Timothy Klusman, A.A.
• Daniel Raymond Knabel, M.D.
• Grace Knabel, APNP
• Katheryn Lynn Knapp, LPC-IT
• Richard V. Knoff, D.D.S.
• Tori Rose Knueppel, LPC-IT
• Chad Knutson, RD
• Keith Knutson
• Kristen Knutson

• Occupational Therapist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.