Katelyn Rose Maternoski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6147-26 Issued in WI

Practice address

2301 N Lake Dr
Milwaukee, WI 53211-4508

Phone

(414) 291-1000

NPI assigned

Oct 9, 2017

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 names 1

• Katelyn Rose Mutschler Former name

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1336659945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N SUMMIT AVE UNIT 5B",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021380",
            "telephone_number": "612-437-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114508",
            "telephone_number": "414-291-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERNOSKI",
        "first_name": "KATELYN",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6147-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MUTSCHLER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Match, SLP
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• Kamil Matejewski, MD
• Maternal Harmony
• Maternal Solutions Mke LLC
• Savannah Mathe, PA-C
• Tara Louise Mather, MD
• Mari C Mathers
• James Mathew, MD
• Jinu Jacob Mathew, MD

• Occupational Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.