Kacy Puntillo, OTD, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5729-26 Issued in WI

Practice address

6125 Green Bay Rd Ste 800
Kenosha, WI 53142-2982

Phone

(262) 496-0289

NPI assigned

Apr 29, 2013

Last updated

Aug 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kid Power, LLC

  • Pediatric Occupational Therapist
  • Kenosha, WI
  • NPI 1265094007

  Pediatrics

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1396189700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 GREEN BAY RD STE 800",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422982",
            "telephone_number": "262-496-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 GREEN BAY RD STE 800",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422982",
            "telephone_number": "262-496-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNTILLO",
        "first_name": "KACY",
        "credential": "OTD, MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "0003513",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.010239",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "5729-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Pugnale, MD
• Bharathi Pulla, M.D
• Ganesh N Pulla, M.D
• Christian Timothy Puls, OTR
• Khatija Punjwani, PT
• Pushparanee Babusukumar M.D.S.C.
• Mohammed A Qadeer, MD
• Quality Addiction Management Inc (Kenosha Comprehensive Treatment Center)
• Quality Addiction Management Inc (Kenosha Comprehensive Treatment Center)
• Jawaid Quddus, MD, PHD

• Pediatric Occupational Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pediatric Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.