Amelia Pearl King, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Luck, WI
NPI 1073486007 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1073486007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 7268-27 (WI)
- Practice address
- 623 S 2ND St
Luck, WI 54853-9070 - Phone
- (715) 472-2164
- NPI assigned
- Sep 25, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202937 | MN | MD | Occupational Therapy Assistant |
| 7268-27 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenfield Rehabilitation Agency, Inc. | Current |
Accepting new patients | |
| Greenfield Rehabilitation Agency, Inc. | Current |
Accepting new patients |
Locations
3360 Gateway Rd
Ste 100
Brookfield, WI 53045
Phone (262) 295-6289
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 202937 | MN | |
| Occupational Therapy Assistant | 224Z00000X | 7268-27 | WI | Yes |
Addresses
Primary practice location
623 S 2ND St
Luck, WI 54853-9070
Mailing address
3360 Gateway Rd Ste 100
Brookfield, WI 53045-5115
Phone (262) 923-7101
Other practice location 1
205 United Way
Frederic, WI 54837-8938
Phone (715) 327-4297
Other providers in Luck, WI
- Coramae F Eliason-Bunge
- Christiane Herman
- Jaimee Holdt
- Richard Alfred Huset
- Mandy R Jeske
- Carol K Lanza
- Luck Dental Clinic, Inc.
- Luck Pharmacy Inc
- Amy Magnuson
- Erin E McCreary
All providers in Luck, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.