Kellie Jo Lindberg, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1847-026 Issued in WI

Practice address

N27W23960 Paul Rd Ste 4
Pewaukee, WI 53072-6327

Phone

(414) 254-1565

Fax

(262) 378-4394

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Pause for Healing, LLC

  • Neurorehabilitation Occupational Therapist
  • Brookfield, WI
  • NPI 1760660377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1861594210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23960 PAUL RD STE 4",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726327",
            "telephone_number": "414-254-1565",
            "fax_number": "262-378-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23960 PAUL RD STE 4",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726327",
            "telephone_number": "414-254-1565",
            "fax_number": "262-378-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "KELLIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1847-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40898800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1760660377",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Lewandowski-Walker, O.D.
• Lifecare Hospital of Wisconsin
• Lifecare Hospitals
• Lifecare Hospitals of Milwaukee, Inc
• Lighthouse Counseling Services, LLC
• Living Assistance Waukesha LLC
• Living Assistance, Inc
• Andrew Vernon Ludeman, DC
• Carrie Lujan, PMHNP
• Robert Thomas Lynch, DDS

• Occupational Therapist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.