Kari Patricia Berube, OTR/L

Key facts

NPI

1578086971

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Occupational Therapist 225XP0200X

License

6112-26 (WI)

Practice address

15735 W US Highway 63
Hayward, WI 54843-6475

Phone

(888) 834-4551

Fax

(715) 598-4881

NPI assigned

Jul 18, 2017

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2023.

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1578086971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 W US HIGHWAY 63",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436475",
            "telephone_number": "888-834-4551",
            "fax_number": "715-598-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15735 W US HIGHWAY 63",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436475",
            "telephone_number": "888-834-4551",
            "fax_number": "715-598-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "KARI",
        "middle_name": "PATRICIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6112-26",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "6112-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

• Jamie Lea Taylor Bell, PA-C
• Gina Marie Benson, BSN, RN, PHN
• Rae Jean Bergner, CSAC
• Tamara E Bergum, MFT
• John Berlin, FNP
• Amy Marilyn Billman
• Bio-Medical Applications of Wisconsin, Inc.
• Robyn Rene Bjork, MPT,CWS,WCC,CLT-LANA
• Thomas L. Blumenberg, R.PH., MPH
• Hayley Laure Bocht

All providers in Hayward, WI · Pediatric Occupational Therapist in Wisconsin