Individual provider Active NPI

Kathy Jo Curtis-Waddell, OTR

  • Occupational Therapist
  • Verona, WI
National Provider Identifier
1487721528
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
147-026 Issued in WI
Practice address
1100 E Verona Ave
Verona, WI 53593-8717
Phone
(608) 845-6601
NPI assigned
Nov 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 147-026 WI Primary

Addresses

Primary practice location

1100 E Verona Ave
Verona, WI 53593-8717

Mailing address

302 Perimeter St
Mount Horeb, WI 53572-2317
Phone (608) 437-3964

Other identifiers 1

IdentifierTypeStateIssuer
40683900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820000282 WI Practitioner - Occupational Therapist in Private Practice 5698024032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients

Locations

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

790 N Milwaukee St
#36053
Milwaukee, WI 53202

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487721528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PERIMETER ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722317",
            "telephone_number": "608-437-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938717",
            "telephone_number": "608-845-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS-WADDELL",
        "first_name": "KATHY",
        "middle_name": "JO",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "147-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40683900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.