Kristiana R Maggard, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4673 Issued in WI

Practice address

10180 Washington Ave # 107
Mount Pleasant, WI 53177-1604

Phone

(262) 687-7500

Fax

(262) 687-7501

NPI assigned

Jan 16, 2020

Last updated

Jan 16, 2020By the provider in NPPES

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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1184254336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 WASHINGTON AVE # 107",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "531771604",
            "telephone_number": "262-687-7500",
            "fax_number": "262-687-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 WASHINGTON AVE # 107",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "531771604",
            "telephone_number": "262-687-7500",
            "fax_number": "262-687-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGARD",
        "first_name": "KRISTIANA",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James V Lynott, MD
• Abigail Lyon, PA
• Valerie Lyvers, LAC, DIPL.OM
• John Peter Maccanelli, PT
• Sarah Marie Madigan
• Yazan Mahmoud
• Joseph T Makowka
• Natalie Malinski
• Michael G Manske, M.D.
• Karen Diane Marano, RDH

• Occupational Therapist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.