Michelle Rae Krug, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5908 - 26 Issued in WI

Practice address

106 S Holmen Dr Ste 2
Holmen, WI 54636-9468

Phone

(608) 526-9888

NPI assigned

Sep 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Rae Hentges Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1104375484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR STE 2",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR STE 2",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369468",
            "telephone_number": "608-526-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5908 - 26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HENTGES",
            "middle_name": "RAE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiphany Louise Kokott, RN
• Audrey Koller, PTA
• Jeffrey G Komay, PTA
• Crystal Lee Komp, CNM
• Jennifer Koop, RN
• Madelyn Anne Kuck
• John Walter Lace, PHD
• Kabre Lynn Lagrange
• Amy Lathrop, OTR
• Kali Jo Marie Lien

• Occupational Therapist in Holmen, WI
• Providers in Holmen, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.