Active NPI
Linda C Rabe, O.T.R.
- Occupational Therapist
- Green Bay, WI
National Provider Identifier
1295836229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 277-026
- Practice address
- 900 S Webster Ave
Green Bay, WI 54301-3508 - Phone
- (920) 433-0111
- Fax
- (920) 433-8765
- NPI assigned
- Sep 25, 2006
- 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 | 277-026 | WI | Primary |
Addresses
Primary practice location
900 S Webster Ave
Green Bay, WI 54301-3508
Mailing address
PO Box 13508
Green Bay, WI 54307-3508
Phone (920) 433-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40529500 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1295836229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13508",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543073508",
"telephone_number": "920-433-0111",
"fax_number": "920-433-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013508",
"telephone_number": "920-433-0111",
"fax_number": "920-433-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABE",
"first_name": "LINDA",
"middle_name": "C",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "277-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40529500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.