Active NPI
Laurin McGillis
- Pediatric Occupational Therapist
- Superior, WI
National Provider Identifier
1164261616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 5300 Stinson Ave
Superior, WI 54880-6313 - Phone
- (715) 817-0525
- Fax
- (866) 882-3314
- NPI assigned
- May 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
5300 Stinson Ave
Superior, WI 54880-6313
Mailing address
5300 Stinson Ave
Superior, WI 54880-6313
Phone (715) 817-0525
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1164261616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 STINSON AVE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548806313",
"telephone_number": "715-817-0525",
"fax_number": "866-882-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 STINSON AVE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548806313",
"telephone_number": "715-817-0525",
"fax_number": "866-882-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILLIS",
"first_name": "LAURIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.