Rachel Mildred McKinley, OT – Occupational Therapist

Key facts

NPI: 1497128359
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 056.003533 (IL)
Practice address: 5036 Acorn Dr
Milton, WI 53563
Phone: (082) 898-2616
NPI assigned: Nov 1, 2015
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
056.003533	IL	MD	Occupational Therapist
2875-26	WI	MD	Occupational Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	2875-26	WI
Occupational Therapist	225X00000X	056.003533	IL	Yes

Addresses

Primary practice location

5036 Acorn Dr
Milton, WI 53563

Mailing address

5036 Acorn Dr
Milton, WI 53563-8401
Phone (608) 289-8261

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2018.

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1497128359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 ACORN DR",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535638401",
            "telephone_number": "608-289-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 ACORN DR",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "53563",
            "telephone_number": "082-898-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "RACHEL",
        "middle_name": "MILDRED",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-01",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2875-26",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.003533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, WI

All providers in Milton, WI · Occupational Therapist in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.