Organization Active NPI

Building Hope Therapy Services LLC

  • Pediatric Occupational Therapist
  • Kimberly, WI
National Provider Identifier
1770964124
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2015018426027 Issued in WI
Legal business name
BUILDING HOPE THERAPY SERVICES LLC
Practice address
1113 W Kennedy Ave Ste E
Kimberly, WI 54136
Phone
(920) 202-2262
NPI assigned
Jun 11, 2015
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Amanda L KlettiNPI 1073863098
Title
Manager/Occupational Therapist
Phone
(920) 202-2262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 2015018426027 WI Primary

Addresses

Primary practice location

1113 W Kennedy Ave Ste E
Kimberly, WI 54136

Mailing address

1113 W Kennedy Ave Ste E
Kimberly, WI 54136-2212
Phone (920) 202-2262

Other practice location 1

510 E Wisconsin Ave
Appleton, WI 54911-4865
Phone (920) 202-2262

Other practice location 2

510 E Wisconsin Ave
Appleton, WI 54911-4865
Phone (920) 202-2262

National Provider Directory

National Provider Directory

Locations

510 E Wisconsin Ave
Appleton, WI 54911
Phone (920) 202-2262

1113 W Kennedy Ave
Ste E
Kimberly, WI 54136
Phone (920) 202-2262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1770964124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 W KENNEDY AVE STE E",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "541362212",
            "telephone_number": "920-202-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W KENNEDY AVE STE E",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "54136",
            "telephone_number": "920-202-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549114865",
            "country_code": "US",
            "telephone_number": "920-202-2262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 E Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549114865",
            "country_code": "US",
            "telephone_number": "920-202-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUILDING HOPE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "KLETTI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "920-202-2262"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "2015018426027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimberly, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.