Active NPI
Quality Therapy, LLC
- Physical Disabilities Residential Treatment Facility
- Kaukauna, WI
National Provider Identifier
1649420076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- Q004099
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Lynn Kitelinger, COTA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Occupational Therapist
- Kaukauna, WI
- NPI 1528104429
-
- Occupational Therapist
- Spartanburg, SC
- NPI 1548310097
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.