AMY M THIBODEAUX OTR
NPI 1285003731
Occupational Therapist in Green Bay, WI

Active since September 15, 2015
1160 KEPLER DR, GREEN BAY, WI 54311(920) 288-5500(920) 288-5510 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2024, Dec 8, 2021, Dec 10, 2019 and 1 more (4 updates tracked since 2019).

About Amy M Thibodeaux Otr NPPES

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

AMY M THIBODEAUX OTR (NPI 1285003731) is an individual occupational therapist in Green Bay, Wisconsin, licensed in Wisconsin (2801-26) and active in the NPI registry since September 2015. She maintains a secondary practice location in Shawano.

NPPES Registry Identity

NPI1285003731
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameAMY M THIBODEAUXCredential: OTR
Location Address1160 KEPLER DRGreen Bay, WI 54311-8321
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 288-5510
Sole ProprietorNo
Enumeration DateSeptember 15, 2015
Last NPPES UpdateSeptember 20, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1285003731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WI · 2801-26
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.
1160 KEPLER DR, Green Bay, WI 54311

Secondary Practice Location 1

Location 11346 E Green Bay StShawano, WI 54166-2210 · Phone (715) 526-6244 · Fax (715) 526-2328

Other Identifiers 1

Medicaid40789200WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy M Thibodeaux Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

General Acute Care Hospital
5000 MEMORIAL DR
Two Rivers, WI 54241
  • Reassigned Medicare billing, Wisconsin enrollment
  • 55 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
1160 KEPLER DR
GREEN BAY, WI 54311
Psychologist (Clinical)
1160 KEPLER DR
GREEN BAY, WI 54311
Occupational Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Chiropractor
1160 KEPLER DR
GREEN BAY, WI 54311
Pediatrics
1160 KEPLER DR
GREEN BAY, WI 54311
Nurse Practitioner (Psychiatric/Mental Health)
1160 KEPLER DR
GREEN BAY, WI 54311
Preventive Medicine (Occupational Medicine)
1160 KEPLER DR
GREEN BAY, WI 54311
Orthopaedic Surgery
1160 KEPLER DR
GREEN BAY, WI 54311

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 Amy Thibodeaux's NPI number?

The NPI number for Amy Thibodeaux is 1285003731. It was assigned to this individual provider in the NPPES registry on September 15, 2015.

Where is Amy Thibodeaux located?

Amy Thibodeaux practices at 1160 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 288-5500.

What is Amy Thibodeaux's specialty?

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

Is Amy Thibodeaux enrolled in Medicare?

Yes. Amy Thibodeaux is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Thibodeaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Thibodeaux reassigns Medicare benefits to Aurora Health Care North, Inc. (Two Rivers, WI). 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 Amy Thibodeaux'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 Amy Thibodeaux was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.