Active NPI
Jillian Laurent, OTR
- Occupational Therapist
- Sturgeon Bay, WI
National Provider Identifier
1093109225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5667-26
- Practice address
- 1230 Michigan St
Sturgeon Bay, WI 54235-3000 - Phone
- (920) 746-2800
- Fax
- (920) 746-3888
- NPI assigned
- Mar 25, 2015
- Last updated
- May 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5667-26 | WI | Primary |
Addresses
Primary practice location
1230 Michigan St
Sturgeon Bay, WI 54235-3000
Mailing address
406 S Hudson Ave
Sturgeon Bay, WI 54235-3000
Phone (920) 242-6958
Other names 1
- Jillian Johnson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5667-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1093109225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 S HUDSON AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353000",
"telephone_number": "920-242-6958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 MICHIGAN ST",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353000",
"telephone_number": "920-746-2800",
"fax_number": "920-746-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENT",
"first_name": "JILLIAN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5667-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.