Active NPI
Katherine Ann Krizek, OTR/L
- Occupational Therapist
- Kenosha, WI
National Provider Identifier
1346497369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4658-026
- Practice address
- 8633 32ND Ave
Kenosha, WI 53142-5187 - Phone
- (414) 694-8300
- NPI assigned
- Aug 20, 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 | 4658-026 | WI | Primary |
Addresses
Primary practice location
8633 32ND Ave
Kenosha, WI 53142-5187
Mailing address
2035 Raintree LN
Racine, WI 53406-7650
Phone (262) 456-4855
Other names 1
- Miss Katherine Ann Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9651 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1948
Phone (262) 455-7408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02021 | KS | MD | Physical Therapy Assistant |
| 4658-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Occupational Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Occupational Therapist | Current | Accepting new patients |
| Key Rehabilitation, Inc | Past | Accepting new patients |
Locations
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Organizations & group practices 3
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.
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
Occupational Therapist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
Occupational Therapist
-
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1346497369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 RAINTREE LN",
"city": "RACINE",
"state": "WI",
"postal_code": "534067650",
"telephone_number": "262-456-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8633 32ND AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531425187",
"telephone_number": "414-694-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIZEK",
"first_name": "KATHERINE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4658-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "BAKER",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.