Active NPI
Erin B. Kosolcharoen, OT
- Occupational Therapist
- Menomonee Falls, WI
National Provider Identifier
1326294794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3891-26
- Practice address
- N61W14539 Brookside Dr
Menomonee Falls, WI 53051-5881 - Phone
- (262) 781-3083
- NPI assigned
- Aug 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3891-26 | WI | Primary |
Addresses
Primary practice location
N61W14539 Brookside Dr
Menomonee Falls, WI 53051-5881
Mailing address
618 Lone Oak LN
Verona, WI 53593-9526
Phone (480) 620-6647
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3891 | WI | MD | Emergency Medicine Physician |
| 3891-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1326294794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 LONE OAK LN",
"city": "VERONA",
"state": "WI",
"postal_code": "535939526",
"telephone_number": "480-620-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N61W14539 BROOKSIDE DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530515881",
"telephone_number": "262-781-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSOLCHAROEN",
"first_name": "ERIN",
"middle_name": "B.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-17",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3891-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.