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 NPI 1073863098
Title
Manager/Occupational Therapist
Phone
(920) 202-2262

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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)CodeLicenseStatePrimary
Pediatric Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 16, 2019.

{
    "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

All providers in Kimberly, WI · Pediatric Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.