Active NPI
Lynn M Guy, O.T.
- Occupational Therapist
- New Berlin, WI
National Provider Identifier
1861608176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 12631 W. Beloit Road
New Berlin, WI 53151 - Phone
- (414) 915-7534
- NPI assigned
- May 15, 2007
- 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 | Primary |
Addresses
Primary practice location
12631 W. Beloit Road
New Berlin, WI 53151
Mailing address
12631 W. Beloit Road
New Berlin, WI 53151
Phone (414) 915-7534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40650600 | Medicaid | WI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1861608176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12631 W. BELOIT ROAD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "53151",
"telephone_number": "414-915-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 W. BELOIT ROAD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "53151",
"telephone_number": "414-915-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUY",
"first_name": "LYNN",
"middle_name": "M",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40650600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.