Angela Koren Lucchesi

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

531627 Issued in WI

Practice address

3601 S Chicago Ave
South Milwaukee, WI 53172-3708

Phone

(414) 764-4100

NPI assigned

Dec 23, 2019

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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1205475290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 E BOTTSFORD AVE",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532355646",
            "telephone_number": "414-573-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CHICAGO AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723708",
            "telephone_number": "414-764-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCHESI",
        "first_name": "ANGELA",
        "middle_name": "KOREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "531627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Leach, COTA
• Alyson Paige Leon, MSN, RN, AGCNS-BC
• Taisha A Lewis, LPN
• Kristen M Lezala, RN
• Lori Ann Lindstadt
• Jill C Lyons, DPT
• Mallory Lytle
• M & M Physical Therapy, LLC
• Kelly Macomber, REGISTERED NURSE
• Alyssa F Markosen

• Occupational Therapy Assistant in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.