Individual provider Active NPI

Kathryn Rose Ortin, OTR

  • Occupational Therapist
  • Greenfield, WI
National Provider Identifier
1265605463
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2347-026 Issued in WI
Practice address
5700 W Layton Ave
Greenfield, WI 53220-4016
Phone
(414) 281-7200
Fax
(414) 282-7512
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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 2347-026 WI Primary

Addresses

Primary practice location

5700 W Layton Ave
Greenfield, WI 53220-4016

Mailing address

5700 W Layton Ave
Greenfield, WI 53220-4016
Phone (414) 281-7200

Other identifiers 1

IdentifierTypeStateIssuer
40779300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000951 WI Practitioner - Occupational Therapist in Private Practice 3173758513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

1111 E Capitol Dr
Shorewood, WI 53211-1810
Phone (414) 204-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2347-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Sep 22, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Feb 6, 2024 Accepting new patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Sep 22, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Feb 6, 2024 Accepting new patients
Onr National Speech Pathology Inc CurrentSince Feb 6, 2024 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

5800 Granite Pkwy
Ste 325
Plano, TX 75024

1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1265605463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204016",
            "telephone_number": "414-281-7200",
            "fax_number": "414-282-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204016",
            "telephone_number": "414-281-7200",
            "fax_number": "414-282-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIN",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2347-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40779300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.