Laura Runge, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4892-26 Issued in WI

Practice address

100 County Road B
Shawano, WI 54166-7072

Phone

(715) 526-2111

NPI assigned

Jul 26, 2010

Last updated

May 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Shepard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1316250897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD B",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541667072",
            "telephone_number": "715-526-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141568",
            "country_code": "US",
            "telephone_number": "920-849-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "LAURA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4892-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SHEPARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly E Rogers, C.O.T.A.
• Amanda Ronsman
• Peter Hayden Roth, PHARMD
• Ashley Rottier
• Sharisa M Ruh, PA
• Nicole Lee Ruske, MD
• Bethany Rae Rybarczyk, BCBA
• Dawn Sagert
• Richard Dennis Sarnwick, DO
• Janelle Schaal, NP

• Occupational Therapist in Shawano, WI
• Providers in Shawano, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.