ELIZABETH GULLICKSRUD OTR/L
NPI 1780250233
Occupational Therapist in La Crosse, WI

Active since June 03, 2021
901 CALEDONIA ST, LA CROSSE, WI 54603(608) 786-1600 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2024, Jun 3, 2021 (2 updates tracked since 2021).

About Elizabeth Gullicksrud Otr/l NPPES

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

ELIZABETH GULLICKSRUD OTR/L (NPI 1780250233) is an individual occupational therapist in La Crosse, Wisconsin and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1780250233
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELIZABETH GULLICKSRUDCredential: OTR/L
Location Address901 CALEDONIA STLa Crosse, WI 54603-2616
Mailing Address206 Irene PlHolmen, WI 54636-9733 · (507) 720-4060
Sole ProprietorNo
Enumeration DateJune 3, 2021
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1780250233 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
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.
901 CALEDONIA ST, La Crosse, WI 54603

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Gullicksrud Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Cognitive & Behavioral
14301 EWING AVE S
Burnsville, MN 55306
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 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.

Behavior Analyst
901 CALEDONIA ST
LA CROSSE, WI 54603
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603

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 Elizabeth Gullicksrud's NPI number?

The NPI number for Elizabeth Gullicksrud is 1780250233. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Elizabeth Gullicksrud located?

Elizabeth Gullicksrud practices at 901 Caledonia St, La Crosse, WI 54603. The listed phone number is (608) 786-1600.

What is Elizabeth Gullicksrud's specialty?

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

Is Elizabeth Gullicksrud enrolled in Medicare?

Yes. Elizabeth Gullicksrud is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Gullicksrud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gullicksrud reassigns Medicare benefits to Partners In Excellence Inc (Burnsville, 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 Elizabeth Gullicksrud'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 Elizabeth Gullicksrud was last updated on March 4, 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.