Individual provider Active NPI

Debbie K Dlugopolski, OTR

  • Occupational Therapist
  • Cedarburg, WI
National Provider Identifier
1992932909
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2103-026 Issued in WI
Practice address
N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Phone
(262) 376-7676
Fax
(262) 376-5208
NPI assigned
Jun 17, 2009
Last updated
Jun 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2103-026 WI Primary

Addresses

Primary practice location

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852

Mailing address

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Phone (262) 376-7676

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
2103-026WIMDOccupational Therapist

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1992932909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W5707 LINCOLN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122852",
            "telephone_number": "262-376-7676",
            "fax_number": "262-376-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W5707 LINCOLN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122852",
            "telephone_number": "262-376-7676",
            "fax_number": "262-376-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUGOPOLSKI",
        "first_name": "DEBBIE",
        "middle_name": "K",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2103-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.