Active NPI
Kiersten Sinram
- Occupational Therapist
- South Milwaukee, WI
National Provider Identifier
1851117345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 851726
- Practice address
- 1410 Rawson Ave
South Milwaukee, WI 53172-1941 - Phone
- (414) 766-5265
- NPI assigned
- Nov 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 851726 | WI | Primary |
Addresses
Primary practice location
1410 Rawson Ave
South Milwaukee, WI 53172-1941
Mailing address
6707 S Parkedge Cir
Franklin, WI 53132-1283
Phone (818) 525-8883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851726 | Other | WI | THE STATE OF WISCONSIN MEDICAL EXAMINING BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 851726 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1851117345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 S PARKEDGE CIR",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531321283",
"telephone_number": "818-525-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 RAWSON AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721941",
"telephone_number": "414-766-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINRAM",
"first_name": "KIERSTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-29",
"last_updated": "2024-11-29",
"certification_date": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "851726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE STATE OF WISCONSIN MEDICAL EXAMINING BOARD",
"identifier": "851726",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.