MRS. KELLIE JO LINDBERG (NPI# 1861594210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861594210 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE JO LINDBERG |
| Credential | OT |
| Practice Address |
2727 N Grandview Blvd Suite 113 Waukesha WI 53188-6100 |
| Mailing Address |
2727 N Grandview Blvd Suite 113 Waukesha WI 53188-1670 |
| Practice Telephone | 4142541565 |
| Practice Fax Number | 2623784394 |
| Mailing Telephone | 4142541565 |
| Mailing Fax Number | 2623784394 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2013-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1847-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NPI GROUP | 1760660377 | 01 |
| WI | 40898800 | 05 |
| Street Address |
2727 N GRANDVIEW BLVD SUITE 113 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790224491 | Lmg Inc | Dentist | 2727 N Grandview Blvd, Suite 100, Waukesha, WI 53188-6100 | 2017-02-15 |
| 1427484922 | Michelle Lynn Kotarski | Physical Therapy Assistant | 2727 N Grandview Blvd, Suite 100, Waukesha, WI 53188-6100 | 2013-09-17 |
| 1962632778 | Eric Taibl | Dentist | 2727 N Grandview Blvd, Waukesha, WI 53188-6100 | 2009-07-15 |
| 1124168638 | Waukesha Pediatric Dental Care Sc | Dentist | 2727 N Grandview Blvd, Suite 206, Waukesha, WI 53188-1671 | 2007-02-07 |
| 1629144431 | Jeffrey W Ausen Dds Sc | Dentist | 2727 N Grandview Blvd, Suite 200, Waukesha, WI 53188 | 2006-11-27 |
| 1366539207 | Deanne Yvonne Jacobsen | Physical Therapist | 2727 N Grandview Blvd, Waukesha, WI 53188-6100 | 2006-10-10 |
| 1831280981 | Jeffrey William Ausen | Dentist | 2727 N Grandview Blvd, Ste 200, Waukesha, WI 53188 | 2006-09-27 |
| 1487745394 | Susann Bordini Norwick | Dentist | 2727 N Grandview Blvd, Suite 206, Waukesha, WI 53188-6100 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574066 | Selene E Blaszkowski | Occupational Therapist | 2951 Clearwater Ln, Waukesha, WI 53189-6845 | 2019-11-27 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1548768054 | Mary Dresser | Occupational Therapist | 615 S Grandview Blvd, Waukesha, WI 53188-4747 | 2018-01-30 |
| 1609316751 | Diane Visuri | Occupational Therapist | S57w29687 Saylesville Rd, Waukesha, WI 53189-9793 | 2017-03-07 |
| 1710420930 | Carolyn Pieper | Occupational Therapist | W246s7440 Scotland Dr, Waukesha, WI 53189-9250 | 2016-11-19 |
| 1811344849 | Alexandra Dawn Butterfield | Occupational Therapist | 3209 Tanglewood Dr, Waukesha, WI 53189-6889 | 2016-05-19 |
| 1346615259 | Jerel Mckay | Occupational Therapist | 100 Corrina Blvd, Apt 316, Waukesha, WI 53186-3888 | 2015-12-03 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1063813772 | Rachel Urban | Occupational Therapist | S52w23111 Hunters Holw, Waukesha, WI 53189-9757 | 2014-09-12 |
| 1134543093 | Therapeutic Healing, LLC | Occupational Therapist | 2609 N. Grandview Blvd., Suite 150, Waukesha, WI 53188 | 2014-02-13 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on MRS. KELLIE JO LINDBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.