Organization Active NPI

Ozaukee Cranial Clinic, LLC

  • Physical Therapy Clinic/Center
  • Mequon, WI
National Provider Identifier
1093089161
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2178-24 Issued in WI
Legal business name
OZAUKEE CRANIAL CLINIC, LLC
Practice address
1476 W Mequon Rd
Mequon, WI 53092-3268
Phone
(262) 241-1133
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Karen M Kestel, PHYSICAL THERAPISTNPI 1265508717
Title
Member
Phone
(262) 241-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2178-24 WI Primary

Addresses

Primary practice location

1476 W Mequon Rd
Mequon, WI 53092-3268

Mailing address

1476 W Mequon Rd
Mequon, WI 53092-3268
Phone (262) 241-1133

National Provider Directory

National Provider Directory

Locations

1476 W Mequon Rd
Mequon, WI 53092
Phone (262) 241-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1093089161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923268",
            "telephone_number": "262-241-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923268",
            "telephone_number": "262-241-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZAUKEE CRANIAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "KESTEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "262-241-1133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "2178-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.