Active NPI
Linda May Collins, MS, OTR
- Occupational Therapist
- New London, WI
National Provider Identifier
1184830259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1667-026
- Practice address
- 307 Smith St
New London, WI 54961-1410 - Phone
- (920) 982-5440
- Fax
- (920) 982-0444
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1667-026 | WI | Primary |
Addresses
Primary practice location
307 Smith St
New London, WI 54961-1410
Mailing address
N1590 County Road J
Kaukauna, WI 54130-1242
Phone (920) 982-5440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40697300 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1667-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Eastern Wisconsin Rehabilitation Corporation | 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 and National Provider Directory roles.
-
- Physical Therapist
- New London, WI
- NPI 1417017369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184830259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1590 COUNTY ROAD J",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541301242",
"telephone_number": "920-982-5440",
"fax_number": "920-982-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 SMITH ST",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549611410",
"telephone_number": "920-982-5440",
"fax_number": "920-982-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "LINDA",
"middle_name": "MAY",
"name_prefix": "Mrs.",
"credential": "MS, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1667-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40697300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New London, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.