NPIMap

Organization Active NPI

Natures Edge Therapy Center

  • Occupational Therapist
  • Rice Lake, WI
National Provider Identifier
1083696702
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
NATURES EDGE THERAPY CENTER
Practice address
2523 14 3/4 Ave
Rice Lake, WI 54868-8736
Phone
(715) 859-6670
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Becky L. Lundeen, MATCC/SLP
Title
Director
Phone
(715) 859-6670

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2523 14 3/4 Ave
Rice Lake, WI 54868-8736

Mailing address

2523 14 3/4 Ave
Rice Lake, WI 54868-8736
Phone (715) 859-6670

Other identifiers 2

IdentifierTypeStateIssuer
54976OtherWISECURITY HEALTH PLAN
41222500MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083696702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 14 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688736",
            "telephone_number": "715-859-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 14 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688736",
            "telephone_number": "715-859-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURES EDGE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LUNDEEN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-859-6670",
        "authorized_official_credential": "MATCC/SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "54976",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41222500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.