Organization Active NPI

Stellar Kinetics

  • Occupational Therapist
  • Appleton, WI
National Provider Identifier
1285526863
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
STELLAR KINETICS
Practice address
3019 W Spencer St Ste 104
Appleton, WI 54914-5946
Phone
(520) 609-4324
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Stephanie Ksionda, OTR/LNPI 1558089987
Title
Ceo
Phone
(520) 609-4324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3019 W Spencer St Ste 104
Appleton, WI 54914-5946

Mailing address

3019 W Spencer St Ste 104
Appleton, WI 54914-5946
Phone (520) 609-4324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260616000096 WI Part B Supplier - Clinic/Group Practice 8729550348 Receives reassigned benefits from 1 practitioner
Practice locations: Appleton, WI

National Provider Directory

National Provider Directory

Locations

3019 W Spencer St
Ste 104
Appleton, WI 54914
Phone (520) 609-4324

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1285526863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 W SPENCER ST STE 104",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145946",
            "telephone_number": "520-609-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 W SPENCER ST STE 104",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145946",
            "telephone_number": "520-609-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR KINETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "KSIONDA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-609-4324",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.