Active NPI
Aimee Michele Kasten, ATC
- Rehabilitation Clinic/Center
- Oshkosh, WI
National Provider Identifier
1609101039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 1110-39
- Practice address
- 785 High Ave
Kolf Sports Center - 169M
Oshkosh, WI 54901-4103 - Phone
- (920) 424-3237
- NPI assigned
- Oct 2, 2009
- Last updated
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 1110-39 | WI | Primary |
Addresses
Primary practice location
785 High Ave
Kolf Sports Center - 169M
Oshkosh, WI 54901-4103
Mailing address
290 Greenfield TRL
Oshkosh, WI 54904-7952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110-39 | WI | MD | Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1609101039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 GREENFIELD TRL",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549047952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 HIGH AVE",
"address_2": "KOLF SPORTS CENTER - 169M",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549014103",
"telephone_number": "920-424-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTEN",
"first_name": "AIMEE",
"middle_name": "MICHELE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "WI",
"license": "1110-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.