NPIMap

Organization Active NPI

Building Great Kids Therapy LLC

  • Pediatrics Physician
  • Madison, WI
National Provider Identifier
1629701438
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BUILDING GREAT KIDS THERAPY LLC
Practice address
1738 Eagan Rd
Madison, WI 53704-3736
Phone
(218) 590-6530
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Keith Alan Ritsche, OTR/LNPI 1124777123
Title
Occupational Therapist/Director
Phone
(218) 590-6530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0008X

Addresses

Primary practice location

1738 Eagan Rd
Madison, WI 53704-3736

Mailing address

N7169 E Plaza Dr
Beaver Dam, WI 53916-9403
Phone (920) 887-7545

National Provider Directory

National Provider Directory

Locations

N7169 E Plaza Dr
Beaver Dam, WI 53916

1738 Eagan Rd
Madison, WI 53704
Phone (218) 590-6530

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1629701438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7169 E PLAZA DR",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539169403",
            "telephone_number": "920-887-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 EAGAN RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043736",
            "telephone_number": "218-590-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING GREAT KIDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "RITSCHE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "218-590-6530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.