Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body OT LLC

Organization Rehabilitation Clinic/Center · NPI 1972063691

Mind Body OT LLC is a Rehabilitation Clinic/Center in Beaver Dam, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Gateway Dr Ste 300
Beaver Dam, WI 53916-9176
Phone: (920) 763-3534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X

Record details

NPI number1972063691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Baumann — Owner · (920) 763-3534
NPI enumeratedMarch 20, 2019
Last updated in NPPESMarch 21, 2019
Mailing addressW9018 County Rd S, Beaver Dam, WI 53916-9680

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