Active NPI
Kaitlyn Jean Owens, OTR/L
- Occupational Therapist
- Chilton, WI
National Provider Identifier
1063095016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 683826
- Practice address
- 130 N State St
Chilton, WI 53014-1354 - Phone
- (920) 418-2653
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 683826 | WI | Primary |
Addresses
Primary practice location
130 N State St
Chilton, WI 53014-1354
Mailing address
130 N State St
Chilton, WI 53014-1354
Phone (920) 418-2653
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 |
|---|---|---|---|
| 683826 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1063095016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N STATE ST",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141354",
"telephone_number": "920-418-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N STATE ST",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141354",
"telephone_number": "920-418-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "KAITLYN",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "683826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chilton, WI
- Mariah L Murphy, D.D.S.
- Sivanandhini Muthiah, MS CCCSLP
- Neelam Patel Nair, FNP
- New Hope Center
- Orthopedic & Sports Medicine Specialists of Green Bay, SC
- Carmen Marie Persaud, LPC CSAC CSIT
- Jane Carol Pleshek, NURSE PRACTITIONER
- Michael Chistopher Popelars, DMD
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Sherry Ann Pribbernow, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.