Active NPI
Kari Elizabeth Wiese, OT
- Occupational Therapist
- Davenport, IA
National Provider Identifier
1366410383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01529
- Practice address
- 3540 E 46TH St
Davenport, IA 52807-3403 - Phone
- (563) 742-5900
- Fax
- (563) 742-5980
- NPI assigned
- Mar 8, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01529 | IA | Primary |
| Occupational Therapist | 225X00000X | 056-006266 | IL |
Addresses
Primary practice location
3540 E 46TH St
Davenport, IA 52807-3403
Mailing address
3540 E 46TH St
Davenport, IA 52807-3403
Phone (563) 742-5900
Other names 1
- Mrs. Kari Basler Wiese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01529 | IA | MD | Occupational Therapist |
| 056-006266 | IL | MD | Occupational Therapist |
Organizations & group practices 1
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.
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1366410383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 E 46TH ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073403",
"telephone_number": "563-742-5900",
"fax_number": "563-742-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 E 46TH ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073403",
"telephone_number": "563-742-5900",
"fax_number": "563-742-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESE",
"first_name": "KARI",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01529",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-006266",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARI",
"last_name": "WIESE",
"middle_name": "BASLER",
"prefix": "MRS.",
"credential": "OT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.