Amber S Keel Endemann, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1928 Issued in WI

Practice address

3305 N Ballard Rd Ste C
Appleton, WI 54911-9001

Phone

(920) 735-9234

NPI assigned

Oct 23, 2007

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 names 1

• Amber S Endemann Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Valley-Bay Therapy Inc.

  • Specialist
  • Appleton, WI
  • NPI 1720138514

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1568651891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MARINA PL APT 312",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549524111",
            "telephone_number": "920-475-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 N BALLARD RD STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549119001",
            "telephone_number": "920-735-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEL ENDEMANN",
        "first_name": "AMBER",
        "middle_name": "S",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "ENDEMANN",
            "middle_name": "S",
            "credential": "COTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• B. Kaufmann, L.P.N.
• Patricia Kautz
• Jenna Lynn Kautzer, MD
• Thanmayi Kaza, MD
• Lauren M Kazik, LPC
• Hillary Marie Keeler, NP-C
• Michael Keeney, PHARMD, RPH
• Beth Ann Keesler, OTR
• Jane Marbury Keggi, MSW LCSW
• Cristina M Kehl, LPC, CSAC

• Occupational Therapy Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.