Marissa Elizabeth Loberger, OTR / L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

056.01.4660 Issued in IL

Practice address

1108 N Milwaukee St Unit 214
Milwaukee, WI 53202-3153

Phone

(920) 639-8409

NPI assigned

Jan 13, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1801547518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N MILWAUKEE ST UNIT 214",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023153",
            "telephone_number": "920-639-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N MILWAUKEE ST UNIT 214",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023153",
            "telephone_number": "920-639-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBERGER",
        "first_name": "MARISSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "OTR / L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056.01.4660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lo, PHARMD
• Ryan Lee Lo, MD
• Martin Lewis Lobel, MD
• Rachel Ann Loberg, NP
• Anne Loberger, PT
• Melissa Cortnie Locascio, LPN
• Crystal Colleen Lochhead
• Kathryn Anne Lochmann, NP-C
• Kylie Lochner, PA
• Erin Locicero

• Physical Rehabilitation Occupational Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Rehabilitation Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.