MRS. DEBRA LYNN PROX (OTR) – Occupational Therapist, NPI 1376054403

MRS. DEBRA LYNN PROX (OTR) is a healthcare provider. based in Hartland, Wisconsin. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 2562-26 (WI). The NPI Number for MRS. DEBRA LYNN PROX (OTR) is 1376054403

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEBRA LYNN PROX (OTR)
NPI
1376054403
Phone
(262) 966-2071
Address
W300N8731 COUNTY RD E
Enumeration Date
16 October 2017
Last Update Date
16 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2623380092
Graduation Year
1995 (31 years ago)
PAC ID
3375893787
Group Practice PAC ID
1658647581
Professional Enrollment ID
I20180906000093
Address ID
WI530957904WE2130XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

500 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for MRS. DEBRA LYNN PROX (OTR)

  • W300N8731 COUNTY RD E

    HARTLAND, WI 530299512

    Phone: (262) 966-2071

    Type: Mailing

  • 2130, Continental Drive, West Bend, Washington County, Wisconsin, 53095, United States

    WEST BEND, WI 530957904

    Phone: (262) 338-0092

    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: 2018-09-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180906000093IOccupational Therapist In Private PracticeWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97535Training for self-care or home management, each 15 minutes55435$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes37227$0
97530Therapy procedure using functional activities34132$0
97750Test or measurement for functional capacity, each 15 minutes3414$0
View full utilization report →

Insurance plans in this area (ZIP 53029)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658647581View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Qualified Speech Language PathologistWI
Occupational Therapist In Private PracticeWI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeWI
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeWI
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeWI
Qualified Speech Language PathologistWI

Reviews

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Frequently asked questions

Can I cross-check MRS. DEBRA LYNN PROX (OTR) using NPI 1376054403?
NPI 1376054403 belongs to MRS. DEBRA LYNN PROX (OTR); compare other details if you need extra assurance.
Is MRS. DEBRA LYNN PROX (OTR) still an active registrant?
MRS. DEBRA LYNN PROX (OTR) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. DEBRA LYNN PROX (OTR)?
MRS. DEBRA LYNN PROX (OTR)'s specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. DEBRA LYNN PROX (OTR)?
Travel planning: use Hartland, Wisconsin as the reference point for MRS. DEBRA LYNN PROX (OTR), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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