Tessa Kleinwolterink, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

087999 Issued in IA

Practice address

1015 Union St
Boone, IA 50036-4821

Phone

(515) 432-7729

Fax

(515) 433-0701

NPI assigned

Aug 29, 2018

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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Work Systems Rehab, PC

  • Physical Therapist
  • Pella, IA
  • NPI 1417047317

  IA, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1649752452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 UNION ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364821",
            "telephone_number": "515-432-7729",
            "fax_number": "515-433-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 UNION ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364821",
            "telephone_number": "515-432-7729",
            "fax_number": "515-433-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINWOLTERINK",
        "first_name": "TESSA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "087999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinne Family Pharmacy Inc
• Kinne Family Pharmacy Inc
• Kinne Family Pharmacy Inc
• Bret Kinne, PHARMD
• Wendy Ann Kinne, PHARMD
• Gregory Andrew Knudsen, PHARM. D.
• Mary Jo Koch
• Debra A. Koerner, LMHC, MAC
• Lori A Krome, MD
• Sudha Kumar, RPH, MS

• Occupational Therapist in Boone, IA
• Providers in Boone, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.