Individual provider Active NPI

Linda Louise Leupold, C.O.T.A.

  • Occupational Therapy Assistant
  • Green Bay, WI
National Provider Identifier
1972604296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
912-027 Issued in WI
Practice address
2900 Curry LN
New Curative Rehabilitation
Green Bay, WI 54311-5857
Phone
(920) 468-9129
NPI assigned
Sep 26, 2006
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
Occupational Therapy Assistant 224Z00000X 912-027 WI Primary

Addresses

Primary practice location

2900 Curry LN
New Curative Rehabilitation
Green Bay, WI 54311-5857

Mailing address

15526 Rosecrans Rd
Maribel, WI 54227-9711
Phone (920) 863-6356

Other identifiers 1

IdentifierTypeStateIssuer
40731300MedicaidWI

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
912-027WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972604296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15526 ROSECRANS RD",
            "city": "MARIBEL",
            "state": "WI",
            "postal_code": "542279711",
            "telephone_number": "920-863-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CURRY LN",
            "address_2": "NEW CURATIVE REHABILITATION",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115857",
            "telephone_number": "920-468-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUPOLD",
        "first_name": "LINDA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "912-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40731300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, 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.