Individual provider Active NPI

Kalina Elizabeth Ziller, OTR

  • Occupational Therapist
  • Mount Pleasant, WI
National Provider Identifier
1154845667
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
606526 Issued in WI
Practice address
6233 Durand Ave Ste 102-3
Mount Pleasant, WI 53406-4961
Phone
(262) 497-7270
Fax
(262) 456-2387
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 606526 WI Primary

Addresses

Primary practice location

6233 Durand Ave Ste 102-3
Mount Pleasant, WI 53406-4961

Mailing address

6233 Durand Ave Ste 102-3
Mount Pleasant, WI 53406-4961
Phone (262) 497-7270

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
606526WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Playroom, Inc Occupational Therapist Past Accepting new patients

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1154845667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 DURAND AVE STE 102-3",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064961",
            "telephone_number": "262-497-7270",
            "fax_number": "262-456-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 DURAND AVE STE 102-3",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064961",
            "telephone_number": "262-497-7270",
            "fax_number": "262-456-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLER",
        "first_name": "KALINA",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "606526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.