NPIMap

Organization Active NPI

Living Well Occupational Therapy, LLC

  • Occupational Therapist
  • Elm Grove, WI
National Provider Identifier
1275107971
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LIVING WELL OCCUPATIONAL THERAPY, LLC
Practice address
910 Elm Grove Rd Ste 28
Elm Grove, WI 53122-2531
Phone
(262) 737-2377
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole BoyingtonNPI 1962779116
Title
Manager
Phone
(262) 226-6265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

910 Elm Grove Rd Ste 28
Elm Grove, WI 53122-2531

Mailing address

910 Elm Grove Rd Ste 28
Elm Grove, WI 53122-2531
Phone (262) 737-2377

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Theraplateform

National Provider Directory

National Provider Directory

Locations

910 Elm Grove Rd
Ste 28
Elm Grove, WI 53122
Phone (262) 737-2377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1275107971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ELM GROVE RD STE 28",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222531",
            "telephone_number": "262-737-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ELM GROVE RD STE 28",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222531",
            "telephone_number": "262-737-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "BOYINGTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-226-6265"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theraplateform",
            "affiliation": "N",
            "address_1": "910 Elm Grove Rd Ste 28",
            "city": "Elm Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531222531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.