Robert Lange, MOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5166-26 Issued in WI

Practice address

1401 Churchill St
Waupaca, WI 54981-2027

Phone

(715) 258-8131

NPI assigned

May 2, 2007

Last updated

Dec 16, 2014By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1891917902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E FULTON ST",
            "address_2": "APT 7",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811256",
            "telephone_number": "414-313-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHURCHILL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812027",
            "telephone_number": "715-258-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "ROBERT",
        "credential": "MOTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5166-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41043600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Kraemer
• Cari Jo Kramer, AUD
• Joseph Kuchler, APNP
• Carol Kulaga, RPH
• Jennifer Marie Kundinger
• Nathan Michael Larsen, M.D.
• Nicole R Lauritzen, LPC-T
• Miriam Joy Leean-Rodenz, D.C.
• Kathryn Nancy Leeman, PTA
• Nicholas Lehrer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.