LACY NOWICKI (OTR/L) – Occupational Therapist, NPI 1013507201
Occupational Therapist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
500 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for LACY NOWICKI (OTR/L)
W180N8071 Town Hall Rd
Menomonee Falls, WI 530513518
Phone: (262) 253-2700
Type: Location
9047 W Greenfield Ave
West Allis, WI 532142800
Phone: (414) 453-9290
Type: Location
425 N University Dr
Waukesha, WI 531883174
Phone: (262) 524-6400
Type: Location
2550 W TYVOLA RD STE 350
CHARLOTTE, NC 282174574
Phone: (419) 221-3004
Type: Mailing
10222 74TH ST STE 211
KENOSHA, WI 531426810
Phone: (262) 925-5020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220824001952 | I | Occupational Therapist In Private Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 865 | 40 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 820 | 42 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 564 | 36 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 53051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Qualified Speech Language Pathologist | WI | |
| Physical Therapist In Private Practice | MI | |
| Occupational Therapist In Private Practice | WI | |
| Occupational Therapist In Private Practice | NJ | |
| Occupational Therapist In Private Practice | WI | |
| Occupational Therapist In Private Practice | NJ | |
| Occupational Therapist In Private Practice | WI | |
| Qualified Speech Language Pathologist | WI | |
| Occupational Therapist In Private Practice | WI |
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