GOOD SHEPHERD REHABILITATION AGENCY
NPI 1114995164
Occupational Therapist in Seymour, WI

Active since March 08, 2006CLIA 52D0394570 · Waiver
958 FOOTE STREET, SEYMOUR, WI 54165(920) 833-7796(920) 833-2220 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Shepherd Rehabilitation Agency NPPES

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

GOOD SHEPHERD REHABILITATION AGENCY (NPI 1114995164) is a healthcare organization registered as an occupational therapist in Seymour, Wisconsin and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Deborah A Captain, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114995164
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameGOOD SHEPHERD HOME, LTD
Location Address958 FOOTE STREETSeymour, WI 54165
Mailing Address958 Foote StreetSeymour, WI 54165 · (920) 833-7796 · Fax (920) 833-2220
Fax(920) 833-2220
Organization SubpartNo
Authorized OfficialDeborah A CaptainExecutive Director · (920) 833-6856
Enumeration DateMarch 8, 2006
Last NPPES UpdateJanuary 12, 2012
NPI 1114995164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in WI · 2659
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 2659 (WI)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 2659 (WI)
958 FOOTE STREET, Seymour, WI 54165

Other Names 1

Doing Business AsGood Shepherd Rehabilitation Agency

Other Identifiers 2

Medicare OSCAR/certification526540WI
Medicaid41814400WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0394570

Good Shepherd Services, Ltd · Seymour, WI
Active · expires Aug 31, 2026
CLIA Number52D0394570
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCayla Yakaites
Laboratory Phone(920) 833-6856
Laboratory LocationGood Shepherd Services, Ltd607 Bronson Rd, Seymour, WI 54165
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Good Shepherd Home, Ltd's NPI number?

The NPI number for Good Shepherd Home, Ltd is 1114995164. It was assigned to this organization in the NPPES registry on March 8, 2006. The provider is doing business as Good Shepherd Rehabilitation Agency.

Where is Good Shepherd Home, Ltd located?

Good Shepherd Home, Ltd is located at 958 Foote Street, Seymour, WI 54165. The listed phone number is (920) 833-7796.

What is Good Shepherd Home, Ltd's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Does Good Shepherd Home, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0394570) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Good Shepherd Home, Ltd accept?

Health plans from Anthem Blue Cross and Blue Shield list Good Shepherd Home, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Good Shepherd Home, Ltd was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.