Kim Marie Rasmussen, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1519-026 Issued in WI

Practice address

1317 W Grand Ave
Port Washington, WI 53074-2075

Phone

(262) 284-2261

Fax

(262) 284-4641

NPI assigned

Aug 11, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144232125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E CEDAR LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926106",
            "telephone_number": "262-241-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W GRAND AVE",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742075",
            "telephone_number": "262-284-2261",
            "fax_number": "262-284-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "1519-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portwashingtonctd1 LLC
• Neal Z. Potash, MS
• Prime Horizon, Inc.
• Nicole Prohuska, APSW
• Carol L Ramos, LPC
• Laurelle A Rathke, LPC
• David C. Reif, D.C.
• Suzanne K Ronquillo, MA, LPC, LMFT-IT
• Michael Charles Ross, D.C.
• Michaela Rusch, LPC

• Pediatric Occupational Therapist in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Pediatric Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.