Great Lakes Healthcare, Inc.
NPI 1184282618ActiveOrganization· Occupational Therapist· Germantown, WI
Occupational Therapist in Germantown, Wisconsin, registered in NPPES in May 2019. The authorized official on file is Lee Johnson, Treasurer.
Overview
| NPI | 1184282618 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2019 |
| Last updated in NPPES | Mar 17, 2021 |
| Certified by provider | Mar 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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