Beth Ellen Kopitzke, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

105-027 Issued in WI

Practice address

6001 Alderson St
Schofield, WI 54476-3614

Phone

(715) 359-4257

NPI assigned

Jul 30, 2008

Last updated

Aug 31, 2011By the provider in NPPES

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 1

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1316103245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 ALDERSON ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544763614",
            "telephone_number": "715-359-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 ALDERSON ST",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544763614",
            "telephone_number": "715-359-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPITZKE",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "105-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40563900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany King, APNP
• Katherine Mary Klumpyan, RD
• Morgan Ann Marie Knetter, MSW
• William Arthur Knutson, O.D.
• Melinda Koch
• Julie Kramer, RPH
• Timothy M Kuhn, AUD CCCA
• Maggie Lake, CAPSW
• Jessica Larsen
• Crystal Lavalley, NP

• Occupational Therapy Assistant in Schofield, WI
• Providers in Schofield, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.