Kim M. Cuculi, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1594 Issued in WI

Practice address

800 Geneva Pkwy N Ste 3
Lake Geneva, WI 53147

Phone

(262) 248-9902

Fax

(262) 248-9419

NPI assigned

Jul 1, 2006

Last updated

Aug 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Medical Group-Southeast Wisconsin Inc

  dba Ascension Medical Group

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment NPD
• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  Medicare reassignment NPD
• Advanced Healthcare SC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1154371847
  NPD (past)
• Lakes Area Physical Therapy, LLC

  • Physical Therapist
  • Lake Geneva, WI
  • NPI 1588845804
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1144259375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GENEVA PKWY N STE 3",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531475701",
            "telephone_number": "262-248-9902",
            "fax_number": "262-249-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GENEVA PKWY N STE 3",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "53147",
            "telephone_number": "262-248-9902",
            "fax_number": "262-248-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCULI",
        "first_name": "KIM",
        "middle_name": "M.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01063884",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marguerite R Compton, MD
• Amie Lee Conley, LPN
• Robert Conlon, D.D.S.
• Cornerstone Adult Family Homes
• Ernst A. Cornielsen, D.D.S.
• Kimberly K Dama, PT
• Christina Dame, LPC
• Kailin Michele Daniels, COTA
• Michaela Ann Daniels, MS, CCC-SLP
• Kathryn J Davey, PT

• Occupational Therapist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.