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

Mr. John L Elmendorf III, OTR/L

Individual provider Occupational Therapist · NPI 1790966604

Mr. John L Elmendorf III, OTR/L is an Occupational Therapist in Sheboygan, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

1125 N 13th St
Sheboygan, WI 53081-3281
Phone: (920) 803-1617
Fax: (920) 803-1622
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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 2810-026 (WI)

Record details

NPI number1790966604
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 19, 2007
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

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