Individual provider Active NPI

Michele Lynn Ward, OTR

  • Occupational Therapist
  • Fredonia, WI
National Provider Identifier
1083500417
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2671-26 Issued in WI
Practice address
401 Highland Dr
Fredonia, WI 53021-9499
Phone
(262) 692-2489
NPI assigned
Jun 13, 2025
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2671-26 WI Primary

Addresses

Primary practice location

401 Highland Dr
Fredonia, WI 53021-9499

Mailing address

332 Homestead TRL
Grafton, WI 53024-1158
Phone (262) 339-4269

Other practice location 1

3360 Gateway Rd Ste 200
Brookfield, WI 53045-5115
Phone (414) 964-4777

Other practice location 2

W68N611 Evergreen Blvd
Cedarburg, WI 53012-1847
Phone (262) 376-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2671-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield Rehabilitation Agency, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1083500417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HOMESTEAD TRL",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530241158",
            "telephone_number": "262-339-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGHLAND DR",
            "city": "FREDONIA",
            "state": "WI",
            "postal_code": "530219499",
            "telephone_number": "262-692-2489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3360 Gateway Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530455115",
            "country_code": "US",
            "telephone_number": "414-964-4777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W68N611 Evergreen Blvd",
            "address_purpose": "LOCATION",
            "city": "Cedarburg",
            "state": "WI",
            "postal_code": "530121847",
            "country_code": "US",
            "telephone_number": "262-376-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2671-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.