Christian Timothy Puls, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6186 Issued in WI

Practice address

1703 60TH St
Kenosha, WI 53140-3986

Phone

(262) 658-4125

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Male

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1720559560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 SPRINGDALE RD APT 12",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868721",
            "telephone_number": "260-249-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403986",
            "telephone_number": "262-658-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULS",
        "first_name": "CHRISTIAN",
        "middle_name": "TIMOTHY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Puckett, RN
• Bogdan Pudzisz, M.D.
• Michael Anthony Pugnale, MD
• Bharathi Pulla, M.D
• Ganesh N Pulla, M.D
• Khatija Punjwani, PT
• Kacy Puntillo, OTD, MS, OTR/L
• Pushparanee Babusukumar M.D.S.C.
• Mohammed A Qadeer, MD
• Quality Addiction Management Inc (Kenosha Comprehensive Treatment Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.