Active NPI
Kathryn M Wiberg, COTA
- Developmentally Disabled Services Day Training Agency
- Milwaukee, WI
National Provider Identifier
1700453834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 5773-27
- Practice address
- 3015 S 45TH St
Milwaukee, WI 53219-3415 - Phone
- (262) 909-5321
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 5773-27 | WI | Primary |
Addresses
Primary practice location
3015 S 45TH St
Milwaukee, WI 53219-3415
Mailing address
3015 S 45TH St
Milwaukee, WI 53219-3415
Phone (262) 909-5321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5773-27 | WI | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1700453834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 S 45TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532193415",
"telephone_number": "262-909-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 S 45TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532193415",
"telephone_number": "262-909-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIBERG",
"first_name": "KATHRYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "WI",
"license": "5773-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Christopher Karl Wichert, DPT
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.