Individual provider Active NPI

Keith Alan Ritsche, OTR/L

  • Pediatric Occupational Therapist
  • Madison, WI
National Provider Identifier
1124777123
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7134-26 Issued in WI
Practice address
1738 Eagan Rd
Madison, WI 53704-3736
Phone
(218) 590-6530
NPI assigned
Mar 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 7134-26 WI Primary

Addresses

Primary practice location

1738 Eagan Rd
Madison, WI 53704-3736

Mailing address

N7169 E Plaza Dr
Beaver Dam, WI 53916-9403
Phone (920) 887-7545

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

LicenseStateTypeSpecialty
7134-26WIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Great Kids Therapy LLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

N7169 E Plaza Dr
Beaver Dam, WI 53916

1738 Eagan Rd
Madison, WI 53704
Phone (218) 590-6530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1124777123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7169 E PLAZA DR",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539169403",
            "telephone_number": "920-887-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 EAGAN RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043736",
            "telephone_number": "218-590-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITSCHE",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "7134-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.