Active NPI
Barbara A Hodkiewicz, OTR
- Occupational Therapist
- Glendale, WI
National Provider Identifier
1487773420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1290026
- Practice address
- 6700 N Port Washington Rd
Glendale, WI 53217-3919 - Phone
- (414) 351-8850
- NPI assigned
- Mar 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1290026 | WI | Primary |
Addresses
Primary practice location
6700 N Port Washington Rd
Glendale, WI 53217-3919
Mailing address
W252 S7400 Brookside Circle
Waukesha, WI 53189
Phone (262) 662-2933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1290026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487773420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W252 S7400 BROOKSIDE CIRCLE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53189",
"telephone_number": "262-662-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532173919",
"telephone_number": "414-351-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODKIEWICZ",
"first_name": "BARBARA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1290026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.