ROBERT LANGE (NPI# 1891917902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891917902 |
| Entity Type | Individual |
| Full Name | ROBERT LANGE |
| Credential | MOTR |
| Practice Address |
1401 Churchill St Waupaca WI 54981-2027 |
| Mailing Address |
410 E Fulton St Apt 7 Waupaca WI 54981-1256 |
| Practice Telephone | 7152588131 |
| Mailing Telephone | 4143130705 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5166-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41043600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821088873 | Robert E Lange | Obstetrics & Gynecology | 5601 W Eugie Ave, #100, Glendale, AZ 85304-1256 | 2005-10-21 |
| Street Address |
1401 CHURCHILL ST |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780757872 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2006-11-16 |
| 1962978700 | Luke Casona Berdin | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2018-10-19 |
| 1619407392 | Jennifer Marie Kundinger | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2017-06-15 |
| 1619341344 | Amanda Cleary Pickart | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-11-18 |
| 1093108565 | Crossroads Care Center of Crystal River LLC | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-03-09 |
| 1336531177 | Kristin J Lueke | Occupational Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-03-03 |
| 1033511316 | Prostep Rehabilitation | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2014-09-18 |
| 1164784062 | Kasey Louise Tessar | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2012-06-15 |
| 1467729459 | Janet Leikip | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2011-11-19 |
| 1376859074 | Torri Yaeger | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2010-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| 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 |
|---|---|---|---|---|
| 1396285102 | Meghan Renee Halambeck | Occupational Therapist | 1226 Berlin St, Waupaca, WI 54981-1991 | 2017-02-27 |
| 1376082628 | Jennifer Rose Draeger | Occupational Therapist | 800 Riverside Dr, Waupaca, WI 54981-1943 | 2017-02-20 |
| 1083981534 | Tracy Marie Darnutzer | Occupational Therapist | 1226 Berlin St, Waupaca, WI 54981-1991 | 2011-11-29 |
| 1477766632 | Sue Laurie Young | Occupational Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
| 1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
| 1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
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| 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.