Mary Beth Lynn Koski

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

198027 Issued in WI

Practice address

9449 W Forest Home Ave
Hales Corners, WI 53130-1611

Phone

(414) 529-6888

Fax

(414) 529-1271

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By 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 1

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1730353905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301611",
            "telephone_number": "414-529-6888",
            "fax_number": "414-529-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "MARY BETH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "198027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40761500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talene Kelegian
• S John Kim, MD
• Emalie King, M.S. SLP
• Brianna N Kirnbauer, B.A PSYCHOLOGY
• Ashley Kite
• S. Paul Kuwayama, MD
• Donald Allen Kwarciany, DDS MS
• Lakeshore Medical Clinic LTD
• Rhoda M Larson, LMT PTA
• Laska Dental, LLC

• Occupational Therapy Assistant in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.