Payton L Dorn

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

872426 Issued in WI

Practice address

1405 Mill St
New London, WI 54961-2155

Phone

(920) 531-2031

Fax

(920) 531-2056

NPI assigned

Oct 1, 2024

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

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1366260960",
    "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",
            "telephone_number": "920-830-5900",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612155",
            "telephone_number": "920-531-2031",
            "fax_number": "920-531-2056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1142 Orlando Dr",
            "address_purpose": "LOCATION",
            "city": "De Pere",
            "state": "WI",
            "postal_code": "54115",
            "country_code": "US",
            "telephone_number": "920-339-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORN",
        "first_name": "PAYTON",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "872426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gal Dahan
• Benjamin Dellaria
• Traci Joy Diehl
• Terry J Dietrich, MD
• James Michael Doolin, RPH
• Amanda Kay Douma, APNP
• Reginald A Ebirim, M.D.
• Breana Leigh Fellinger, DO
• Michael Lynn Fetterolf, MD
• Jeffrey Allen Fillmore, APNP

• Occupational Therapist in New London, WI
• Providers in New London, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.