Diann Louise Ikeler, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1970-026 Issued in WI

Practice address

S94W31656 Gena Dr
Mukwonago, WI 53149-8273

Phone

(414) 588-9466

Fax

(262) 378-5101

NPI assigned

Apr 22, 2008

Last updated

Oct 19, 2012By the provider in NPPES

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

Other identifiers 2

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1710151667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S94W31656 GENA DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498273",
            "telephone_number": "414-588-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S94W31656 GENA DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498273",
            "telephone_number": "414-588-9466",
            "fax_number": "262-378-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKELER",
        "first_name": "DIANN",
        "middle_name": "LOUISE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1970-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40783900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST LICENSE",
            "identifier": "1970-026",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Douglas Herbst, PHARMD
• Crystal Hill, LPN
• Sue Baird Holmes, R.N.
• Honor on-Site Clinics
• Debra Marie Hudson, LPN
• Kathy Ann Janisch, RN
• Joanne Elizabeth Jessen, PT
• Daniel E. Johnson, M.D.
• Danika Brianne Johnson
• Sarah Elizabeth Jorgensen, APNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.