Lauren Brittany Tebrink, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002358 Issued in IA

Practice address

21 E Main St
Waukon, IA 52172-1748

Phone

(563) 568-3447

NPI assigned

Dec 1, 2020

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

• Lauren Brittany Pepper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1336744002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 QUARRY ST UNIT 2",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011318",
            "telephone_number": "636-544-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E MAIN ST",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721748",
            "telephone_number": "563-568-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Hardin Dr",
            "address_purpose": "LOCATION",
            "city": "Postville",
            "state": "IA",
            "postal_code": "521623300",
            "country_code": "US",
            "telephone_number": "563-864-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEBRINK",
        "first_name": "LAUREN",
        "middle_name": "BRITTANY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PEPPER",
            "middle_name": "BRITTANY",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittney Snitker, PHARMD
• William John Specht, ARNP
• Nicole M Sullivan, RPH
• Dana Sutherland
• Angela Beth Taylor, PMHNP-BC
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society
• Megan Elizabeth Thompson, RD, LD
• Austin Troendle, PT, DPT, ATC, LAT
• Shelly Valley, PTA

• All providers in Waukon, IA
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.