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

Lacy Nowicki, OTR/L

Individual provider Occupational Therapist · NPI 1013507201

Lacy Nowicki, OTR/L is an Occupational Therapist in Private Practice in Kenosha, Wisconsin. Qualified in 2021, 5 years ago. Practices with Fox Rehabilitation Services Wi LLC, a 143-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10222 74th St Ste 211
Kenosha, WI 53142-6810
Phone: (262) 925-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • W180n8071 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (262) 253-2700
  • 425 N University Dr, Waukesha, WI 53188-3174 — (262) 524-6400
  • 9047 W Greenfield Ave, West Allis, WI 53214-2800 — (414) 453-9290

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 719-26 (WI)

Record details

NPI number1013507201
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fox Rehabilitation Services Wi Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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