Individual provider Active NPI

Elisa Kjorlien

  • Occupational Therapy Assistant
  • Appleton, WI
National Provider Identifier
1689581795
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1146-27 Issued in WI
Practice address
131 E Washington St Ste 1a
Appleton, WI 54911-5447
Phone
(920) 852-5516
NPI assigned
Aug 25, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1146-27 WI Primary

Addresses

Primary practice location

131 E Washington St Ste 1a
Appleton, WI 54911-5447

Mailing address

207 W Arrowhead LN
Appleton, WI 54913-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1689581795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W ARROWHEAD LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E WASHINGTON ST STE 1A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115447",
            "telephone_number": "920-852-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJORLIEN",
        "first_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1146-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.