Active NPI
Molly Kafka, OTD
- Occupational Therapist
- De Pere, WI
National Provider Identifier
1053188268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8448-26
- Practice address
- 1142 Orlando Dr
De Pere, WI 54115-9484 - Phone
- (920) 339-0700
- NPI assigned
- Dec 7, 2023
- Last updated
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8448-26 | WI | Primary |
Addresses
Primary practice location
1142 Orlando Dr
De Pere, WI 54115-9484
Mailing address
1142 Orlando Dr
De Pere, WI 54115-9484
Phone (920) 339-0700
Other practice location 1
1130 Orlando Dr
DE Pere, WI 54115-9484
Phone (920) 347-3174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8448-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Equestrians Company | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- De Pere, WI
- NPI 1366333783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1053188268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 ORLANDO DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159484",
"telephone_number": "920-339-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 ORLANDO DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159484",
"telephone_number": "920-339-0700"
}
],
"practiceLocations": [
{
"address_1": "1130 Orlando Dr",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541159484",
"country_code": "US",
"telephone_number": "920-347-3174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAFKA",
"first_name": "MOLLY",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "8448-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.