Individual provider Active NPI

Kaitlyn Neubecker

  • Occupational Therapy Assistant
  • Kansasville, WI
National Provider Identifier
1447174644
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
7291-27 Issued in WI
Practice address
1200 248TH Ave
Kansasville, WI 53139-9601
Phone
(262) 878-2191
NPI assigned
Aug 10, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7291-27 WI Primary

Addresses

Primary practice location

1200 248TH Ave
Kansasville, WI 53139-9601

Mailing address

2716 Concord Dr
Racine, WI 53403-4042

Other practice location 1

1218 Wilmot Ave
Twin Lakes, WI 53181-9419
Phone (262) 877-2148

Other practice location 2

1901 176th Ave
Kenosha, WI 53144-7615
Phone (262) 859-2350

Other practice location 3

300 E Prosser St
Silver Lake, WI 53170-1409
Phone (262) 889-4384

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton School District #1 Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1447174644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 CONCORD DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534034042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 248TH AVE",
            "city": "KANSASVILLE",
            "state": "WI",
            "postal_code": "531399601",
            "telephone_number": "262-878-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 Wilmot Ave",
            "address_purpose": "LOCATION",
            "city": "Twin Lakes",
            "state": "WI",
            "postal_code": "531819419",
            "country_code": "US",
            "telephone_number": "262-877-2148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 176th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531447615",
            "country_code": "US",
            "telephone_number": "262-859-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Prosser St",
            "address_purpose": "LOCATION",
            "city": "Silver Lake",
            "state": "WI",
            "postal_code": "531701409",
            "country_code": "US",
            "telephone_number": "262-889-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUBECKER",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "7291-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansasville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.