Building Hope Therapy Services LLC
Organization Active NPI Pediatric Occupational Therapist · Kimberly, WI
NPI 1770964124 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1770964124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 2015018426027 (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
- Organization subpart
- No
Authorized official
- Name
- Amanda L Kletti
- Title
- Manager/Occupational Therapist
- Phone
- (920) 202-2262
Practitioners 2
-
Amanda Lee Kletti, M.S. OTR
-
Karen Elizabeth Julian, M.S., CCC-SLP
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist |
225XP0200X | 2015018426027 | WI | Yes |
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
NPI Registry JSON
{
"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
- Kevin Boots
- Matthew J Boots
- William Joseph Boots
- Madeline L Boucher
- Timothy James Bouressa
- Yang Vau Chang
- Connections LLC
- Cornerstone Caregiving East LLC
- Tara Nicole Ditter
- Rebecca Kristeen Doro
All providers in Kimberly, WI · Pediatric Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.