Individual provider Active NPI

Allyson Elizabeth Pribbernow, OTR

  • Occupational Therapist
  • Sheboygan, WI
National Provider Identifier
1104499052
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7024 Issued in WI
Practice address
3330 Stahl Rd
Sheboygan, WI 53081-8862
Phone
(920) 459-3555
Fax
(920) 459-6713
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 7024 WI Primary

Addresses

Primary practice location

3330 Stahl Rd
Sheboygan, WI 53081-8862

Mailing address

3330 Stahl Rd
Sheboygan, WI 53081-8862
Phone (920) 459-3555

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Beginnings, LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1125 N 13th St
Sheboygan, WI 53081
Phone (920) 208-9648

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1104499052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 STAHL RD",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530818862",
            "telephone_number": "920-459-3555",
            "fax_number": "920-459-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 STAHL RD",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530818862",
            "telephone_number": "920-459-3555",
            "fax_number": "920-459-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBBERNOW",
        "first_name": "ALLYSON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "7024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.