Active NPI
Wonderland Therapy LLC
- Clinic/Center
- La Crosse, WI
National Provider Identifier
1437757986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WONDERLAND THERAPY LLC
- Practice address
- 1800 Jackson St Ste H
La Crosse, WI 54601-5800 - Phone
- (608) 571-5417
- NPI assigned
- Oct 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Kish, MS, OTR/L
- Title
- Occupational Therapist
- Phone
- (608) 780-1196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1800 Jackson St Ste H
La Crosse, WI 54601-5800
Mailing address
2116 Winnebago St
La Crosse, WI 54601-5060
Other practice location 1
2116 Winnebago St
LA Crosse, WI 54601-5060
Phone (608) 780-1196
National Provider Directory
National Provider DirectoryLocations
1800 Jackson St
Ste H
La Crosse, WI 54601
Phone (608) 571-5417
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- La Crosse, WI
- NPI 1093173619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1437757986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 WINNEBAGO ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 JACKSON ST STE H",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015800",
"telephone_number": "608-571-5417"
}
],
"practiceLocations": [
{
"address_1": "2116 Winnebago St",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546015060",
"country_code": "US",
"telephone_number": "608-780-1196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WONDERLAND THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-15",
"last_updated": "2024-03-12",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "KISH",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "608-780-1196",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 12, 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.