Individual provider Active NPI

Kristina Marie Bleeke, OTR

  • Occupational Therapist
  • Cudahy, WI
National Provider Identifier
1295819431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3183 Issued in WI
Practice address
5071 S Lake Dr
Cudahy, WI 53110-2033
Phone
(414) 744-7630
Fax
(414) 744-7655
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3183 WI Primary

Addresses

Primary practice location

5071 S Lake Dr
Cudahy, WI 53110-2033

Mailing address

6715 W English Meadows Dr
Apartment B305
Greenfield, WI 53220-3991
Phone (414) 282-4929

Other names 1

  • Miss Kristina Marie Ruff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3183WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Curative Care Network, Inc. Past Accepting new patients
Curative Care Network Past Accepting new patients

Organizations & group practices 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295819431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 W ENGLISH MEADOWS DR",
            "address_2": "APARTMENT B305",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203991",
            "telephone_number": "414-282-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 S LAKE DR",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531102033",
            "telephone_number": "414-744-7630",
            "fax_number": "414-744-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEEKE",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "RUFF",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cudahy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.