Susan Joan Knuth, OTR/L, ATP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1625-26 Issued in WI

Practice address

1800 Appleton Rd
Early Intervention Services
Menasha, WI 54952-3727

Phone

(920) 968-6236

NPI assigned

Dec 8, 2011

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

Other identifiers 3

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1275801987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WASHINGTON AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563341",
            "telephone_number": "920-729-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 APPLETON RD",
            "address_2": "EARLY INTERVENTION SERVICES",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523727",
            "telephone_number": "920-968-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTH",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "OTR/L, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1625-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN DEPT OF REGULATION AND LICENSING",
            "identifier": "1625-26",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION - OCCUPATIONAL THERAPY",
            "identifier": "812",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION - EARLY CHILDHOOD EXCEPTIONAL ED NEED",
            "identifier": "808",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Keyes, APNP
• Sarah E Kimmes, MSW APSW
• Ann Elizabeth Kirchner, LCSW LPC
• Debra Kline, LCPC, LPC
• Gloria Kloehn
• Kayla M Koeppl, SAC-IT
• Branden J Kooiman, APNP
• Heather Kopesky
• Lisa M. Kositzke, R.D.H.
• Bryan Eugene Krause, LCSW

• Occupational Therapist in Menasha, WI
• Providers in Menasha, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.