Nancy L Klocek, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

197-027 Issued in WI

Practice address

110 Belmont Rd
Madison, WI 53714-3129

Phone

(608) 249-7391

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770704231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6035 HARVEY RD",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535519660",
            "telephone_number": "920-648-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BELMONT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143129",
            "telephone_number": "608-249-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCEK",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "197-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "197-027",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41035400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen Klinkner, DNP, RN
• Jason Kyle Klipsic, D.O.
• Rebecca Jayne Klipstine, RPH.
• Elizabeth M Klismith, R.D., C.D.
• Emily L Kloack
• Alexa Madison Klodd
• Kloehn Anesthesis Service, LLC
• Michael G Kloess, MD
• Sarah Kloiber, MD
• Kaitlyn Klonsinski, APSW

• Occupational Therapy Assistant in Madison, WI
• Providers in Madison, 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 Jul 8, 2007; 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.