Elizabeth Gullicksrud, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

901 Caledonia St
La Crosse, WI 54603-2616

Phone

(608) 786-1600

NPI assigned

Jun 3, 2021

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Partners in Excellence Inc

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  • NPI 1467598730

  WI

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1780250233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 IRENE PL",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369733",
            "telephone_number": "507-720-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CALEDONIA ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032616",
            "telephone_number": "608-786-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLICKSRUD",
        "first_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Sara Guentner, RN
• Alexis Gugliotti
• Natasha Kaye Guillien, NP
• Jennifer Anne Guinn, PA-C
• Rebecca Lynn Guldenaar
• Gundersen Clinic LTD (Gundersen Pharmacy)
• Gundersen Clinic LTD
• Gundersen Clinic LTD
• Gundersen Clinic LTD (Gundersen Pharmacy)
• Gundersen Clinic LTD (Gundersen Specialty Pharmacy-La Crosse Clinic)

• Occupational Therapist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.