Active NPI
Leah Marie Kuepper, OTR
- Occupational Therapist
- Sheboygan, WI
National Provider Identifier
1336478437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5491-26
- Practice address
- 3821 Kohler Memorial Dr Ste 102
Sheboygan, WI 53081-3600 - Phone
- (920) 208-9648
- Fax
- (920) 208-6316
- NPI assigned
- Dec 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1315-19 | WI | |
| Occupational Therapist | 225X00000X | 5491-26 | WI | Primary |
Addresses
Primary practice location
3821 Kohler Memorial Dr Ste 102
Sheboygan, WI 53081-3600
Mailing address
3821 Kohler Memorial Dr Ste 102
Sheboygan, WI 53081-3600
Phone (920) 208-9648
Other names 1
- Mrs. Leah Marie Kuepper
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 |
|---|---|---|---|
| 1315-19 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Resources Inc | Pediatrics | Past | Accepting new patients |
| Greenfield Rehabilitation Agency, Inc. | Occupational Therapist | 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 and National Provider Directory roles.
-
dba Rehab Resources
- Physical Therapist
- Brookfield, WI
- NPI 1790230571
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1336478437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 KOHLER MEMORIAL DR STE 102",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813600",
"telephone_number": "920-208-9648",
"fax_number": "920-208-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3821 KOHLER MEMORIAL DR STE 102",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813600",
"telephone_number": "920-208-9648",
"fax_number": "920-208-6316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUEPPER",
"first_name": "LEAH",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-18",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "1315-19",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5491-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEAH",
"last_name": "KUEPPER",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.