Individual provider Active NPI

Lyndsay Rupnow, COTA

  • Occupational Therapy Assistant
  • Mount Horeb, WI
National Provider Identifier
1952537250
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2052-27 Issued in WI
Practice address
100 S 1St St
Mount Horeb, WI 53572-1906
Phone
(608) 437-5515
Fax
(608) 437-5514
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2052-27 WI Primary

Addresses

Primary practice location

100 S 1St St
Mount Horeb, WI 53572-1906

Mailing address

N9416 County Road U
Belleville, WI 53508-9405
Phone (608) 843-2186

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
2052-27WIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions at Home, Inc. CurrentSince Jul 21, 2024 Accepting new patients

Locations

100 S 1st St
Mount Horeb, WI 53572
Phone (608) 437-5515

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1952537250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9416 COUNTY ROAD U",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089405",
            "telephone_number": "608-843-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 1ST ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721906",
            "telephone_number": "608-437-5515",
            "fax_number": "608-437-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPNOW",
        "first_name": "LYNDSAY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "2052-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.