Kelly Chernik, OTR
Individual provider Active NPI Occupational Therapist · Prairie Du Sac, WI
NPI 1588222004 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1588222004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6432-26 (WI)
- Practice address
- 90 Oak St
Prairie Du Sac, WI 53578-1554 - Phone
- (608) 643-7263
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6432-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Therapy and Development Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6432-26 | WI | Yes |
Addresses
Primary practice location
90 Oak St
Prairie Du Sac, WI 53578-1554
Mailing address
90 Oak St
Prairie Du Sac, WI 53578-1554
Phone (608) 643-7263
Other providers in Prairie Du Sac, WI
- Diane L Buckley
- Mackenzie Lynn Bugg
- Emily M Campbell
- Sandra Carroll
- Alicia Christine Castillo
- Christianson Pfau Chiropractic LLC
- Cody Chiropractic Wellness Center LLC
- Jonathan P Cody
- Laura Cody
- Denise Marie Cole-Ouzounian
All providers in Prairie Du Sac, 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 May 30, 2019. 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.