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WANDA J LICKTEIG OTR/L, CHT
NPI 1104932730
Occupational Therapist - Hand in Stillwater, MN

Active since August 23, 2006Accepts Medicare Assignment
1701 CURVE CREST BLVD W, SUITE 104, STILLWATER, MN 55082(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wanda J Lickteig Otr/l, Cht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA J LICKTEIG OTR/L, CHT (NPI 1104932730) is an individual hand provider in Stillwater, Minnesota, licensed in Minnesota (103078) and active in the NPI registry since August 2006. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1104932730
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameWANDA J LICKTEIGCredential: OTR/L, CHT
Location Address1701 CURVE CREST BLVD W, SUITE 104Stillwater, MN 55082-6044
Mailing Address4200 Dahlberg Dr, Suite 300Golden Valley, MN 55422-4840 · (952) 512-5600 · Fax (952) 512-5651
Phone(651) 439-8807
Fax(651) 439-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 22, 2016
✔ NPI 1104932730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in MN · 103078
1701 CURVE CREST BLVD W, Stillwater, MN 55082
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wanda J Lickteig Otr/l, Cht is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597726216
PECOS Enrollment IDI20041025001097

Medicare Billing Reassignment

Medicare enrollment records show Wanda Lickteig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infinite Health Collaborative, PA
27 mi
Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 728 clinicians in this Medicare group
NPI 1164474250 (952) 512-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
104 services21 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
47 services29 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
37 services17 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
34 services14 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
25 services25 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN D JOHNSON DDS
Dentist (Oral and Maxillofacial Surgery)
1701 CURVE CREST BLVD W, SUITE 108
STILLWATER, MN 55082
Washington County (651) 439-8030
MARTIN A TAHARA DMD, MD
Dentist (Oral and Maxillofacial Surgery)
1701 CURVE CREST BLVD W, SUITE 108
STILLWATER, MN 55082
Washington County (651) 439-8030
NICOLE ANNE SARAUER CNS
Clinical Nurse Specialist (Gerontology)
1701 CURVE CREST BLVD W, SUITE 104
STILLWATER, MN 55082
Washington County (651) 351-2680
ST CROIX ORAL, MAXILLOFACIAL & IMPLANT SURGERY, P.A.
Dentist (Oral and Maxillofacial Surgery)
1701 CURVE CREST BLVD W, SUITE 108
STILLWATER, MN 55082
Washington County (651) 439-8030
MADISON WARNER
Behavior Technician
1701 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 342-1883
CARISSA KNUTSON D.D.S
Dentist (General Practice)
1701 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-8840
ISABELLE DRINKWINE
Behavior Technician
1701 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 342-1883
ST. CROIX ORTHOPAEDICS, P.A.
Durable Medical Equipment & Medical Supplies
1701 CURVE CREST BLVD W, STE. 104
STILLWATER, MN 55082
Washington County (651) 439-8807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Lickteig's NPI number?

The NPI number for Wanda Lickteig is 1104932730. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Wanda Lickteig located?

Wanda Lickteig practices at 1701 Curve Crest Blvd W Suite 104, Stillwater, MN 55082. The listed phone number is (651) 439-8807.

What is Wanda Lickteig's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Wanda Lickteig enrolled in Medicare?

Yes. Wanda Lickteig is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Wanda Lickteig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Lickteig reassigns Medicare benefits to Infinite Health Collaborative, PA (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wanda Lickteig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wanda Lickteig was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.