Well & Ready Kids LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

4976-26 Issued in WI

Legal business name

WELL & READY KIDS LLC

Practice address

510 E Wisconsin Ave Ste 4
Appleton, WI 54911-4865

Phone

(920) 376-9335

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Petrenchik

Title

Owner

Phone

(920) 376-9335

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1760729784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E WISCONSIN AVE STE 4",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E WISCONSIN AVE STE 4",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114865",
            "telephone_number": "920-376-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL & READY KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "PETRENCHIK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-376-9335",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": "WI",
            "license": "4976-26",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "4976-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992082259",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Weitlich
• Sarah Weitlich, RN
• Neeley K Welch-Lamers, LPC
• Dia M Welch, APNP
• Alexis D Welhouse, CST
• Well Adjusted Wellness Center LLC
• Wellness Counseling Center, L.L.C.
• Daniel F Wendelborn, MD
• Angela M Wendt, LPN
• Michael Ronald Wendt, LPC-IT

• Pediatric Occupational Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Pediatric Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.