Individual provider Active NPI

Linda Katherine Lynkiewicz, O.T.R.

  • Pediatric Occupational Therapist
  • Waukesha, WI
National Provider Identifier
1891815668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
87- 026 Issued in WI
Practice address
2000 W Bluemound Rd
Waukesha, WI 53186-2787
Phone
(262) 896-3446
Fax
(262) 896-3450
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 87- 026 WI Primary

Addresses

Primary practice location

2000 W Bluemound Rd
Waukesha, WI 53186-2787

Mailing address

34700 Bartlett Rd
Oconomowoc, WI 53066-4903
Phone (262) 424-1344

Other identifiers 1

IdentifierTypeStateIssuer
40561500MedicaidWI

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

LicenseStateTypeSpecialty
87- 026WIMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891815668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34700 BARTLETT RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664903",
            "telephone_number": "262-424-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862787",
            "telephone_number": "262-896-3446",
            "fax_number": "262-896-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNKIEWICZ",
        "first_name": "LINDA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "87- 026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40561500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, 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.

Verify at the official NPI Registry.