Organization Active NPI

Quality Therapy, LLC

  • Physical Disabilities Residential Treatment Facility
  • Kaukauna, WI
National Provider Identifier
1649420076
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
Q004099 Issued in WI
Legal business name
QUALITY THERAPY, LLC
Practice address
311 Reaume Ave
Kaukauna, WI 54130-2430
Phone
(920) 462-4583
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Jennifer Lynn Kitelinger, COTANPI 1528104429
Title
Owner
Phone
(920) 462-4583

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Q004099 WI Primary

Addresses

Primary practice location

311 Reaume Ave
Kaukauna, WI 54130-2430

Mailing address

311 Reaume Ave
Kaukauna, WI 54130-2430
Phone (920) 462-4583

National Provider Directory

National Provider Directory

Locations

139 E 2nd St
Ste L-3
Kaukauna, WI 54130
Phone (920) 462-4583

Practitioners & affiliated clinicians

Practitioners 2

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": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1649420076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 REAUME AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302430",
            "telephone_number": "920-462-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 REAUME AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302430",
            "telephone_number": "920-462-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "KITELINGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-462-4583",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "WI",
            "license": "Q004099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaukauna, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.