Jacob Lanzendorf, OT
NPI 1972157840 · Occupational Therapist · Green Bay, WI
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Lanzendorf, OT is a Occupational Therapist provider in Green Bay, WI (NPI 1972157840).
Provider details
- NPI number
- 1972157840
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- License
- 6589-26 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
220 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 195 | $24 |
| Evaluation for Occupational Therapy, Typically 30 Minutes97165 | 25 | $95 |
Typical Medicare-allowed amounts for these services range $24–$95 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (4)
- 3263 Eaton RdGreen Bay, WI 54311-6830Phone: (920) 433-6700Fax: (920) 433-6719
- 744 S Webster AveGreen Bay, WI 54301-3505Phone: (920) 433-7822Fax: (920) 433-3651
- 2820 Roosevelt RdMarinette, WI 54143-3834Phone: (715) 735-5225Fax: (717) 735-5388
- 820 Arbutus AveOconto, WI 54153-2004Phone: (920) 835-1100Fax: (920) 835-1099
Registry dates
- Enumerated
- 2019-07-30
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Frequently asked questions
- What is Jacob Lanzendorf's NPI number?
- Jacob Lanzendorf's National Provider Identifier (NPI) is 1972157840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Lanzendorf's specialty?
- Jacob Lanzendorf is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Lanzendorf located?
- Jacob Lanzendorf's practice location on file with NPPES is 1970 S Ridge Rd, Green Bay, WI 54304-4125.
- What is Jacob Lanzendorf's phone number?
- The practice phone number listed in the NPPES registry for Jacob Lanzendorf is (920) 430-4888.
- Does Jacob Lanzendorf accept Medicare?
- Jacob Lanzendorf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Lanzendorf's NPI active?
- Yes — Jacob Lanzendorf's NPI (1972157840) is active in the NPPES registry as of the last update on 2022-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.