Dana Sue Kulick X, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2007031187 Issued in MO

Practice address

332 Stable LN
Wentzville, MO 63385-5447

Phone

(636) 332-4940

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Tree House of Greater St Louis

  • Voluntary or Charitable Agency
  • Wentzville, MO
  • NPI 1881738896
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1689818189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 ESPOWE LN",
            "city": "VILLA RIDGE",
            "state": "MO",
            "postal_code": "630892737",
            "telephone_number": "636-742-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 STABLE LN",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633855447",
            "telephone_number": "636-332-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULICK",
        "first_name": "DANA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "name_suffix": "X",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2007031187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kuhn Chiropractic Center
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• Mary Kathleen Kuhn, D.C.
• Shannon Kuhn, D.C.
• Matthew Kungis, PT, DPT
• Lake Forest Pharmacy
• Lake St. Louis Wigs and Cuts
• Derek Lambert
• Jordis Nevaeh Lang

• Occupational Therapy Assistant in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.