Dianna Kaczmarek, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2689-026 Issued in WI

Practice address

9244 29TH Ave
Kenosha, WI 53143-6602

Phone

(262) 694-0080

Fax

(262) 942-7395

NPI assigned

Apr 14, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1609040476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 APRICOT CT",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291711",
            "telephone_number": "414-421-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9244 29TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436602",
            "telephone_number": "262-694-0080",
            "fax_number": "262-942-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMAREK",
        "first_name": "DIANNA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2689-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41811700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Junith M. Thompson, M.D., S.C.
• Rosalinda Jurvis, CNA
• Just Like Familt LLC
• Pollyanna Kabara, PA-C
• Faya Kacos-Shiu, LCSW
• Katherine Leigh Kaczmarek, LCP-IT
• Pamela A Kaczmarek, PSYD
• Saba J Kadlec, MD
• Cynthia Kadziulis, RN
• Gregory Kaftan, MD

• Occupational Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.