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

Dalton Lardinois

Individual provider Occupational Therapist · NPI 1316896707

Dalton Lardinois is an Occupational Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2025, 1 year ago. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

617 S Roosevelt St
Green Bay, WI 54301-3402
Phone: (920) 433-7822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 9088-26 (WI)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X

Record details

NPI number1316896707
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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