DALTON LARDINOIS
NPI 1316896707
Occupational Therapist in Green Bay, WI

Active since January 27, 2026
617 S ROOSEVELT ST, GREEN BAY, WI 54301(920) 433-7822 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dalton Lardinois NPPES

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

DALTON LARDINOIS (NPI 1316896707) is an individual occupational therapist in Green Bay, Wisconsin, licensed in Wisconsin (9088-26) and active in the NPI registry since January 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1316896707
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameDALTON LARDINOIS
Location Address617 S ROOSEVELT STGreen Bay, WI 54301-3402
Mailing Address617 S Roosevelt StGreen Bay, WI 54301-3402
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 27, 2026
Last NPPES UpdateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
NPI 1316896707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in WI · 9088-26
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.
617 S ROOSEVELT ST, Green Bay, WI 54301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dalton Lardinois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193204030
PECOS Enrollment IDI20260210002939

Other Providers at the Same Location NPPES 3

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

Physical Therapist
617 S ROOSEVELT ST
GREEN BAY, WI 54301
Physical Therapist
617 S ROOSEVELT ST
GREEN BAY, WI 54301
Registered Nurse
617 S ROOSEVELT ST
GREEN BAY, WI 54301

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 Dalton Lardinois's NPI number?

The NPI number for Dalton Lardinois is 1316896707. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Dalton Lardinois located?

Dalton Lardinois practices at 617 S Roosevelt St, Green Bay, WI 54301. The listed phone number is (920) 433-7822.

What is Dalton Lardinois's specialty?

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

Is Dalton Lardinois enrolled in Medicare?

Yes. Dalton Lardinois is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dalton Lardinois was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.