Active NPI
Laura Anne Mundigler, OTR
- Occupational Therapist
- Greendale, WI
National Provider Identifier
1770758658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2799-026
- Practice address
- 7711 Freeland CT
Greendale, WI 53129-1658 - Phone
- (414) 210-0088
- Fax
- (414) 509-1630
- NPI assigned
- Apr 23, 2008
- Last updated
- Feb 22, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2799-026 | WI | Primary |
Addresses
Primary practice location
7711 Freeland CT
Greendale, WI 53129-1658
Mailing address
7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2799-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1770758658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 FREELAND CT",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291658",
"telephone_number": "414-210-0088",
"fax_number": "414-509-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 FREELAND CT",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291658",
"telephone_number": "414-210-0088",
"fax_number": "414-509-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDIGLER",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2799-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.