Active NPI
Lynette Springer, OTRL, CLT
- Occupational Therapist
- Kenosha, WI
National Provider Identifier
1811043680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4287-026
- Practice address
- 6308 8TH Ave Ste 501
Kenosha, WI 53143-5031 - Phone
- (262) 656-3299
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4287-026 | WI | Primary |
Addresses
Primary practice location
6308 8TH Ave Ste 501
Kenosha, WI 53143-5031
Mailing address
2807 75TH St
Kenosha, WI 53143-5637
Phone (262) 654-5961
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 |
|---|---|---|---|
| 4287-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811043680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 75TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435637",
"telephone_number": "262-654-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 8TH AVE STE 501",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435031",
"telephone_number": "262-656-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "OTRL, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4287-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.