IndividualActive
Lori Paczkowski, COTA
NPI 1992937932 · Occupational Therapy Assistant · Wild Rose, WI
Provider details
- NPI number
- 1992937932
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 4679-27 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
425 Summit St
Wild Rose, WI 54984-6804
Phone: (920) 622-3750
Fax: (920) 622-3752
Street-level locationGet directions
Mailing address
212 Douglas Ave
Montello, WI 53949-9322
Registry dates
- Enumerated
- 2009-08-09
- Last updated
- 2012-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.