Active NPI
Lynette Marie Rajterowski, OT
- Occupational Therapist
- Madison, WI
National Provider Identifier
1265553218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6801
- Practice address
- 202 S Park St
Madison, WI 53715-1507 - Phone
- (608) 417-5751
- Fax
- (608) 417-5315
- NPI assigned
- Apr 3, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 56002607 | IL | |
| Hand Occupational Therapist | 225XH1200X | 056-002607 | IL | |
| Occupational Therapist | 225X00000X | 6801 | WI | Primary |
Addresses
Primary practice location
202 S Park St
Madison, WI 53715-1507
Mailing address
5404 Woodley LN
Madison, WI 53713-1531
Phone (815) 501-3261
Other practice location 1
3260 Sycamore Rd
Dekalb, IL 60115-9621
Phone (815) 758-0000
Other names 1
- Lynette Marie Miskinis
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56002607 | IL | MD | Occupational Therapist |
| 056-002607 | IL | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1265553218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 WOODLEY LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537131531",
"telephone_number": "815-501-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-5751",
"fax_number": "608-417-5315"
}
],
"practiceLocations": [
{
"address_1": "3260 Sycamore Rd",
"address_purpose": "LOCATION",
"city": "Dekalb",
"state": "IL",
"postal_code": "601159621",
"country_code": "US",
"telephone_number": "815-758-0000",
"fax_number": "815-991-2681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJTEROWSKI",
"first_name": "LYNETTE",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "56002607",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IL",
"license": "056-002607",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNETTE",
"last_name": "MISKINIS",
"middle_name": "MARIE",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.