Individual provider Active NPI

Kaylynn Laufenberg

  • Occupational Therapy Assistant
  • Wilton, WI
National Provider Identifier
1912450677
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5295 Issued in WI
Practice address
99 S Water St
Wilton, WI 54670-8517
Phone
(608) 792-6040
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
No

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
5295WIMDOccupational Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5295 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

99 S Water St
Wilton, WI 54670-8517

Mailing address

99 S Water St
Wilton, WI 54670-8517
Phone (608) 792-6040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2016.

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1912450677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S WATER ST",
            "city": "WILTON",
            "state": "WI",
            "postal_code": "546708517",
            "telephone_number": "608-792-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S WATER ST",
            "city": "WILTON",
            "state": "WI",
            "postal_code": "546708517",
            "telephone_number": "608-792-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUFENBERG",
        "first_name": "KAYLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.