Active NPI
Anne M Kuzma, OT
- Occupational Therapist
- Sparta, WI
National Provider Identifier
1437328697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4807
- Practice address
- 310 W Main St
Sparta, WI 54656 - Phone
- (608) 269-1770
- NPI assigned
- Feb 21, 2008
- 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 | 103570 | MN | |
| Occupational Therapist | 225X00000X | 4807 | WI | Primary |
Addresses
Primary practice location
310 W Main St
Sparta, WI 54656
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-5222
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
700 West Ave S
LA Crosse, WI 54601-4783
Phone (608) 392-9768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
Other names 1
- Anne M Cychosz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akuzma633774@ehrdirect.mayoclinicmsg.org |
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 |
|---|---|---|---|
| 4807 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Past | Accepting new patients |
Interoperability endpoints
- akuzma633774@ehrdirect.mayoclinicmsg.org
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.
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1437328697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W MAIN ST",
"city": "SPARTA",
"state": "WI",
"postal_code": "54656",
"telephone_number": "608-269-1770"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 West Ave S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546014783",
"country_code": "US",
"telephone_number": "608-392-9768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUZMA",
"first_name": "ANNE",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103570",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akuzma633774@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "700 West Ave S",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546014783",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNE",
"last_name": "CYCHOSZ",
"middle_name": "M",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sparta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.