Active NPI
Stephanie Lynn Andersen, OTR
- Occupational Therapist
- La Crosse, WI
National Provider Identifier
1386773125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4459
- Practice address
- 800 West Ave S
La Crosse, WI 54601 - Phone
- (608) 785-0940
- NPI assigned
- Mar 5, 2007
- Last updated
- Jan 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4459-026 | WI | |
| Occupational Therapist | 225X00000X | 4459 | WI | Primary |
Addresses
Primary practice location
800 West Ave S
La Crosse, WI 54601
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (608) 785-0940
Other practice location 1
2600 Ward Ave
LA Crosse, WI 54601-7424
Phone (608) 787-8200
Other names 1
- Miss Stephanie Lynn Beilke
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4459-026 | WI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salucare Rehabilitative Agency S C | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- La Crosse, WI
- NPI 1447278841
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1386773125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "2600 Ward Ave",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546017424",
"country_code": "US",
"telephone_number": "608-787-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSEN",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "4459-026",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "BEILKE",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.