Lisa L Gajewski, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4157-026 Issued in WI

Practice address

3431 N 13TH St
Sheboygan, WI 53083-2938

Phone

(920) 457-5046

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1407062854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 BLACK FOX CT",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530818553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 N 13TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832938",
            "telephone_number": "920-457-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJEWSKI",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4157-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41048500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah S Fritz
• Kendyl Froberg, M.S. CF-SLP
• George S. Fultz, M.D.
• Laura Lynn Futterer, OTR
• Timothy J Gainey, DDS
• Margaret Galaska, COTA
• Henry H Gale, MD
• Catherine Ann Gallagher, LPC
• Jody A Gallaway, PSY.D.
• Badri N Ganju, MD

• Occupational Therapist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.