Active NPI
Rand Chubin
- Gerontology Occupational Therapist
- De Pere, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 572426
- Practice address
- 200 S 9TH St
De Pere, WI 54115-1393 - Phone
- (920) 336-5680
- NPI assigned
- Dec 7, 2015
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 572426 | WI | Primary |
| Occupational Therapist | 225X00000X | 5724-26 | WI | |
| Occupational Therapist | 225X00000X | 2026-0123 | NM |
Addresses
Primary practice location
200 S 9TH St
De Pere, WI 54115-1393
Mailing address
4890 N Overland Rd Apt 30
Hobart, WI 54155-9287
Other practice location 1
103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (505) 348-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 572426 | WI | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Rehabilitation LLC | Current | Accepting new patients | |
| Phyt Rehab of Wisconsin, Inc. | Current | Accepting new patients | |
| Oasis Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
6109 Braun Rd
Mount Pleasant, WI 53403
Phone (262) 484-4724
911 Jackson St
Ste 101
Wausau, WI 54403
Phone (914) 837-6538
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1386381598
Occupational Therapist
-
- Physical Therapist
- Wausau, WI
- NPI 1366965931
-
- Rehabilitation Clinic/Center
- Deforest, WI
- NPI 1073912119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1528433299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4890 N OVERLAND RD APT 30",
"city": "HOBART",
"state": "WI",
"postal_code": "541559287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 9TH ST",
"city": "DE PERE",
"state": "WI",
"postal_code": "541151393",
"telephone_number": "920-336-5680"
}
],
"practiceLocations": [
{
"address_1": "103 Hospital Loop NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871092115",
"country_code": "US",
"telephone_number": "505-348-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUBIN",
"first_name": "RAND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-07",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "WI",
"license": "572426",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5724-26",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2026-0123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
- Wendy L Chaput, LPC
- Morgan Chase, OT
- Manisha Chaturvedi, MD
- Children's Dental Clinic of Green Bay, LLC
- Children's Dental Clinic of Green Bay, S.C.
- Rose M Cipres-Jaucian, MD
- City of de Pere
- City of de Pere (City of De Pere Ambulance Service)
- CJS Dental Care LLC (Ledgeview Dental Care)
- Amanda Rae Clark, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.