Madison Stankevich, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

397753 Issued in WI

Practice address

5219 88TH Ave
Kenosha, WI 53144-7468

Phone

(262) 653-0850

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tender Touch Therapy LLC

  • Physical Therapist
  • Kenosha, WI
  • NPI 1518026533

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1487133211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 100TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531447730",
            "telephone_number": "126-294-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 88TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531447468",
            "telephone_number": "262-653-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKEVICH",
        "first_name": "MADISON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "397753",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "397753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Nicole Stablein, DNP, APRN, FNP-C
• Sarah N Stachon, PAC
• Cheryl Ann Staehler, P.T.A.
• Dmitriy Stalivonenko, M.D.
• Jennifer Helen Stanis, APSW
• Claire Stanners, MAT, ATC
• Jillian Ann Stapleman, PTA
• Jeanne Stark Casadont
• Ismael R Staromana, MD
• Colleen M Steffens, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.