Kid Power, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

KID POWER, LLC

Practice address

6125 Green Bay Rd Ste 800
Kenosha, WI 53142-2982

Phone

(262) 496-0289

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Kacy Puntillo, OTD, MS, OTR/LNPI 1396189700

Title

Occupational Therapist/Owner

Phone

(262) 496-0289

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kacy Puntillo, OTD, MS, OTR/L

  • Pediatric Occupational Therapist
  • Kenosha, WI
  • NPI 1396189700

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1265094007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 GREEN BAY RD STE 800",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422982",
            "telephone_number": "262-496-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 GREEN BAY RD STE 800",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422982",
            "telephone_number": "262-496-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID POWER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNTILLO",
        "authorized_official_first_name": "KACY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "262-496-0289",
        "authorized_official_credential": "OTD, MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehjabein Yaguoob Khan, MD
• Muhammad S Khan, MD
• Seema Khan, MD
• Kevin A Khater, MD, PHD
• Farheen Khatoon, DDS
• Kidney Care Home SC
• Kidney Replacement Therapies, SC
• Ali J Kilic, MD
• Tom S. Kim, M.D.
• Kindred Living of Kenosha, LLC

• All providers in Kenosha, WI
• Pediatric Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.