MR. JOHN L ELMENDORF III OTR/L
NPI 1790966604
Occupational Therapist in Sheboygan, WI

Active since November 19, 2007
1125 N 13TH ST, SHEBOYGAN, WI 53081(920) 803-1617(920) 803-1622 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2022, Oct 18, 2021 (2 updates tracked since 2021).

About Mr. John L Elmendorf Iii Otr/l NPPES

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

MR. JOHN L ELMENDORF III OTR/L (NPI 1790966604) is an individual occupational therapist in Sheboygan, Wisconsin, licensed in Wisconsin (2810-026) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1790966604
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. JOHN L ELMENDORF IIICredential: OTR/L
Location Address1125 N 13TH STSheboygan, WI 53081-3281
Mailing Address1125 N 13th StSheboygan, WI 53081-3281 · (920) 803-1617 · Fax (920) 803-1622
Fax(920) 803-1622
Sole ProprietorNo
Enumeration DateNovember 19, 2007
Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
NPI 1790966604 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 · 2810-026
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.
1125 N 13TH ST, Sheboygan, WI 53081

Other Identifiers 2

Medicaid41813000WI
Medicaid40794400WI

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.

Occupational Therapy Assistant
1125 N 13TH ST
SHEBOYGAN, WI 53081
Occupational Therapist
1125 N 13TH ST
SHEBOYGAN, WI 53081
Occupational Therapist
1125 N 13TH ST
SHEBOYGAN, WI 53081
Occupational Therapist (Pediatrics)
1125 N 13TH ST
SHEBOYGAN, WI 53081
Occupational Therapist (Pediatrics)
1125 N 13TH ST
SHEBOYGAN, WI 53081
Occupational Therapist
1125 N 13TH ST
SHEBOYGAN, WI 53081
Speech-Language Pathologist
1125 N 13TH ST
SHEBOYGAN, WI 53081
Occupational Therapist (Pediatrics)
1125 N 13TH ST
SHEBOYGAN, WI 53081

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 John Elmendorf's NPI number?

The NPI number for John Elmendorf is 1790966604. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is John Elmendorf located?

John Elmendorf practices at 1125 N 13th St, Sheboygan, WI 53081. The listed phone number is (920) 803-1617.

What is John Elmendorf's specialty?

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

When was this NPI record last updated?

The NPPES record for John Elmendorf was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.