Mikayla Kornowski, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6288-26 Issued in WI

Practice address

3939 S 92ND St
Greenfield, WI 53228-2140

Phone

(414) 321-1800

NPI assigned

Aug 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services Wi LLC

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1518483973

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1578045266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282140",
            "telephone_number": "414-321-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNOWSKI",
        "first_name": "MIKAYLA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6288-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey Stephen Kohn, MD
• Mimi S Kokoska, MD
• Elizabeth Ann Koll, N.P.
• Kelly Kolodzinski, PHD
• Cheryl Lynn Konczal, P.T.A.
• Michelle Jean Kort, OT
• Wade Thomas Koski, LCSW
• Thomas John Kosman, COTA
• Charles Robert Kosowski, DDS
• Joanne V Kostowicz-Volm, APNP

• All providers in Greenfield, WI
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.