Sally Nelson Lysne, OTR
Individual provider Active NPI Occupational Therapist · Sparta, WI
NPI 1922083385 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1922083385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2826 (WI)
- Practice address
- 310 W Main St
Sparta, WI 54656-2170 - Phone
- (608) 269-2132
- Fax
- (608) 269-8110
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2826 | WI | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2826 | WI | Yes |
Addresses
Primary practice location
310 W Main St
Sparta, WI 54656-2170
Mailing address
700 West Ave S
Attn Physician Services
La Crosse, WI 54601-4783
Phone (608) 791-4156
Other providers in Sparta, WI
- Morrow Home
- Morrow Memorial Home for the Aged
- Melissa Mortan
- Vang Moua
- Chad J Needham
- Gary L Nelson
- Erica Rae Nevin
- Mark A. Niebuhr
- Rebecca Nindorf
- Emily M Nolte
All providers in Sparta, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.