Courtney Joy Langendorf

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5506-27 Issued in WI

Practice address

W5528 N Shore Dr
New Lisbon, WI 53950-9034

Phone

(608) 547-1518

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1366004152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5528 N SHORE DR",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539509034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5528 N SHORE DR",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539509034",
            "telephone_number": "608-547-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENDORF",
        "first_name": "COURTNEY",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5506-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert F Hobday, D.D.S.
• Kathy Lynn Holly-Bixby, BA
• John Humphries, ED. S.
• Natasha A Jones, MS, LPC
• Leigha A Katuin, DC
• Kacey M Lombard, LCSW
• Angela G Mann, RN, CH
• Janna Marie Marschall, MSMHC, LPC, NCC
• MBMC Mauston Phillips, LLC
• MBMC Raabe Pharmacy, LLC

• Occupational Therapy Assistant in New Lisbon, WI
• Providers in New Lisbon, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.