{"npi":"1780250233","type":"NPI-1","status":"active","name":{"display":"Elizabeth Gullicksrud Otr/L","other":[],"first":"ELIZABETH","last":"GULLICKSRUD","credential":"OTR/L"},"specialty":{"primary_taxonomy":"225X00000X","primary_taxonomy_description":"Occupational Therapist","slug":"occupational-therapist","schema_org_specialty":null,"all":[{"code":"225X00000X","description":"Occupational Therapist","primary":true,"state":"WI","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"901 CALEDONIA ST","city":"LA CROSSE","state":"WI","postal_code":"546032616","country_code":"US","phone":"6087861600"},{"purpose":"MAILING","street_1":"206 IRENE PL","city":"HOLMEN","state":"WI","postal_code":"546369733","country_code":"US","phone":"5077204060"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220902002642","type_code":"14-67","type_desc":"PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE","state":"WI","pac_id":"2769866177"}]},"enumeration_date":"2021-06-03","last_updated":"2024-03-04","_meta":{"source":"NPPES","snapshot_date":"2024-03-04","doc_url":"https://findmynpi.com/api"}}