Kelli Standorf, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6994-26 Issued in WI

Practice address

1350 S Madison St
Lancaster, WI 53813-2167

Phone

(608) 723-4143

NPI assigned

Jun 8, 2021

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

• Kelli Peterson Former name

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1437726312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 HARRIS ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S MADISON ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132167",
            "telephone_number": "608-723-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 N Iowa St",
            "address_purpose": "LOCATION",
            "city": "Mineral Point",
            "state": "WI",
            "postal_code": "535651118",
            "country_code": "US",
            "telephone_number": "608-987-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDORF",
        "first_name": "KELLI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6994-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric G Slane, MD
• Ashly Kay Snyder, RN
• Southwest Health Center, Inc.
• Southwest Opportunities Center, Inc.
• Eric E Stader, MD
• Nicole Steinbach, SAC-IT
• Brittney Jean Stelpflug, LCSW
• Nathan John Stocco, PA
• Ian Stormont, M.D.
• Beth A Strangstalien

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.