Organization Active NPI

Kreative Connexions Therapy Services, LLC

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1720364045
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
KREATIVE CONNEXIONS THERAPY SERVICES, LLC
Practice address
3111 W National Ave
Milwaukee, WI 53215-1127
Phone
(414) 313-5213
Fax
(414) 755-0633
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Mrs. Lyssa K Vang, OTR
Title
Executive Director
Phone
(414) 313-5213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3111 W National Ave
Milwaukee, WI 53215-1127

Mailing address

PO Box 340663
Milwaukee, WI 53234-0663
Phone (414) 313-5213

National Provider Directory

National Provider Directory

Locations

3111 W National Ave
Milwaukee, WI 53215
Phone (414) 313-5213

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1720364045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340663",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532340663",
            "telephone_number": "414-313-5213",
            "fax_number": "414-755-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151127",
            "telephone_number": "414-313-5213",
            "fax_number": "414-755-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATIVE CONNEXIONS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "LYSSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-313-5213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.