Organization Active NPI

Wonderland Therapy LLC

  • Clinic/Center
  • La Crosse, WI
National Provider Identifier
1437757986
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Laura Kish, MS, OTR/LNPI 1093173619
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.