AMY M THIBODEAUX OTR
NPI 1285003731
Occupational Therapist in Green Bay, WI
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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.
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.
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.