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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. John L Elmendorf III, OTR/L

Occupational Therapist in Sheboygan, WI · enumerated 2007 · practices at Progressive Beginnings, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790966604

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Registry record

Entity type Individual (Type 1)
Name Mr. John L Elmendorf III
Credential OTR/L
Sex Male
Practice address 1125 N 13th St, Sheboygan, WI, 53081
Fax (920) 803-1622
Enumeration date Nov 19, 2007
Last updated in NPPES Oct 10, 2022

Taxonomy & licenses

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2810-026 (WI) Primary

Other identifiers

Identifier Type State Issuer
41813000 Medicaid WI -
40794400 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify John Elmendorf's NPI record?
Cross-check NPI 1790966604 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1790966604 active?
Yes, as of the latest NPPES snapshot, NPI 1790966604 is active (record last updated 2022-10-10).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-10.