Active NPI
Paula Jean Lynn, MS, OTR/L
- Occupational Therapist
- Marinette, WI
National Provider Identifier
1356511018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4562-026
- Practice address
- 3117 Shore Dr Ste 101
Marinette, WI 54143-4293 - Phone
- (715) 735-4200
- NPI assigned
- Mar 8, 2008
- Last updated
- Mar 11, 2024
- 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 | 4562-026 | WI | Primary |
Addresses
Primary practice location
3117 Shore Dr Ste 101
Marinette, WI 54143-4293
Mailing address
PO Box 735031
Chicago, IL 60673-5031
Phone (800) 326-2250
Other practice location 1
2112 13th Ave
Menominee, MI 49858-2414
Phone (906) 290-1905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41057200 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | plynn389449@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4562-026 | WI | MD | Occupational Therapist |
Interoperability endpoints
- plynn389449@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1356511018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735031",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735031",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 SHORE DR STE 101",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434293",
"telephone_number": "715-735-4200"
}
],
"practiceLocations": [
{
"address_1": "2112 13th Ave",
"address_purpose": "LOCATION",
"city": "Menominee",
"state": "MI",
"postal_code": "498582414",
"country_code": "US",
"telephone_number": "906-290-1905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNN",
"first_name": "PAULA",
"middle_name": "JEAN",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-08",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4562-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41057200",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "plynn389449@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3117 Shore Dr Ste 101",
"city": "Marinette",
"state": "WI",
"country_code": "US",
"postal_code": "541434293",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3117 Shore Dr Ste 101",
"city": "Marinette",
"state": "WI",
"country_code": "US",
"postal_code": "541434293",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.