Ellen Lang, MS, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2398-26 Issued in WI

Practice address

6737 W Washington St Ste 2250
West Allis, WI 53214-5650

Phone

(414) 416-7306

NPI assigned

Mar 20, 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

Other names 1

• Ellen Lang Roder Other name

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1417717166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2250",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2250",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145650",
            "telephone_number": "414-416-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "ELLEN",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "2398-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "LANG RODER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Peters Lalios, M.A., CCC-A
• Laura Ann Lamont, CAPSW, LCSW
• Stacy Lamp, PHARMD
• Barbara Lamping, M.D.
• Bryan Landrie
• Kelly Margaret Lang, LCSW
• Thomas Maurice Langer III, MD
• Mariah Anne Langfield
• Keri Mae Lanphear, M.S., LPC, SAC-IT
• Patricia Laplante

• Pediatric Occupational Therapist in West Allis, WI
• Providers in West Allis, WI by specialty
• Pediatric Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.