Kayla Elizabeth Buttke, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5455-27 Issued in WI

Practice address

3005 S Riverside Dr Ste 103
Beloit, WI 53511-1500

Phone

(608) 313-8600

Fax

(608) 312-2406

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moving on LLC

  • Occupational Therapist
  • Janesville, WI
  • NPI 1063883668
  NPD (past)

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1255847075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1/2 W 7TH AVE",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202041",
            "telephone_number": "608-588-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 S RIVERSIDE DR STE 103",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111500",
            "telephone_number": "608-313-8600",
            "fax_number": "608-312-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTKE",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5455-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lorraine Brunjes, O.T.
• Audrey K Buchanan, MSW
• Braden Buchholz, DPT
• James Caldwell Bursinger, DDS
• Emily Mae Bussanich, COTA
• Catherine Caban-Treat, LPN
• Nissage Cadet, M.D.
• Maureen Louise Cain, APN
• Megan Calderon-Rowe, RDH
• Diane K Callahan, RDH

• Occupational Therapy Assistant in Beloit, WI
• Providers in Beloit, 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 15, 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.