Kathryn Ree Walters, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6789-26 Issued in WI

Practice address

109 S Atwood Ave
Janesville, WI 53545-4098

Phone

(920) 248-9336

NPI assigned

Aug 23, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1679185367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 SPICEBUSH LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S ATWOOD AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454098",
            "telephone_number": "920-248-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Hill St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983015",
            "country_code": "US",
            "telephone_number": "920-248-9336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KATHRYN",
        "middle_name": "REE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6789-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna T Wallace, RDH
• Jessica A. Wallace, APRN, PMHNP
• Andrew Wallner, DPT
• Kevin B Walter, OD
• Hailey Anne Walters, RN
• Kathleen Mary Walton, LPN
• Julie A Waraksa, MD
• Carol Ann Ward, LPC,NCC
• Thomas Ward, R.PH.
• Matthew D Warnke, LAC

• Occupational Therapist in Janesville, WI
• Providers in Janesville, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.