Active NPI
Lynette Kay Rupert
- Pediatric Rehabilitation Medicine Physician
- Wapakoneta, OH
National Provider Identifier
1730011263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 002620
- Practice address
- 18935 State Route 501
Wapakoneta, OH 45895-7317 - Phone
- (419) 234-6234
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 002620 | OH | Primary |
Addresses
Primary practice location
18935 State Route 501
Wapakoneta, OH 45895-7317
Mailing address
18935 State Route 501
Wapakoneta, OH 45895-7317
Phone (419) 234-6234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002620 | OH | MD | Pediatric Rehabilitation Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1730011263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18935 STATE ROUTE 501",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458957317",
"telephone_number": "419-234-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18935 STATE ROUTE 501",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458957317",
"telephone_number": "419-234-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPERT",
"first_name": "LYNETTE",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "OH",
"license": "002620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wapakoneta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.