Individual provider Active NPI

Rand Chubin

  • Gerontology Occupational Therapist
  • De Pere, WI
National Provider Identifier
1528433299
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
572426 Issued in WI
Practice address
200 S 9TH St
De Pere, WI 54115-1393
Phone
(920) 336-5680
NPI assigned
Dec 7, 2015
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220727004188 WI Practitioner - Occupational Therapist in Private Practice 8628450350 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
572426WIMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Rehabilitation LLC CurrentSince May 7, 2025 Accepting new patients
Phyt Rehab of Wisconsin, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Oasis Therapy Services LLC Occupational Therapist CurrentSince Jul 13, 2022 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.

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

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.

Verify at the official NPI Registry.