Kaitlyn Irene Payton, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6164 Issued in WI

Practice address

2835 N Grandview Blvd Ste 100
Pewaukee, WI 53072-5546

Phone

(262) 574-1100

Fax

(262) 574-5193

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kaitlyn Irene Gunkel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Occupational Therapist

  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • New Berlin, WI
  • NPI 1659436368

  Occupational Therapist

  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464

  Occupational Therapist

  NPD
• Medical Support Services Inc

  • Rehabilitation Clinic/Center
  • Mount Pleasant, WI
  • NPI 1114143781
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1447758339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 100",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725546",
            "telephone_number": "262-574-1100",
            "fax_number": "262-574-5193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Commerce Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "WI",
            "postal_code": "534063700",
            "country_code": "US",
            "telephone_number": "262-886-3431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N15W28300 Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530724800",
            "country_code": "US",
            "telephone_number": "262-303-5055",
            "fax_number": "262-303-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "KAITLYN",
        "middle_name": "IRENE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074872",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "GUNKEL",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie-Lyn Marie Palama, M.S., LPC, CSAC, NBC
• Marie Palmer, LPC-IT
• Rick Frank Papandrea, M.D.
• Amanda Passint
• Bobbiejo Paul, APNP
• Bradley Cristopher Pearce, D.C.
• Mandy M Pearce, DC
• Pediatric Neuropsychology and Treatment Associates, SC
• Penny a Wesson MD LLC
• Emily Ann Petersdorff

• Occupational Therapist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.