Marisa Kohnen, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31003944A Issued in IN

Practice address

1120 S Calumet Rd Ste 3
Chesterton, IN 46304-3286

Phone

(219) 983-9675

Fax

(219) 983-9681

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidworks, LLC

  • Occupational Therapist
  • Chesterton, IN
  • NPI 1033295472
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861579781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 ATLANTA BLVD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685150",
            "telephone_number": "219-762-9373",
            "fax_number": "219-983-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S CALUMET RD STE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043286",
            "telephone_number": "219-983-9675",
            "fax_number": "219-983-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHNEN",
        "first_name": "MARISA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER PIN",
            "identifier": "000000387925",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Knapp, DNP
• Nicole Catherine Knight-Webster, PTA
• Shannon Knight
• Cathy Ann Knox, RPH
• Chloe Koedyker, PA-C
• Cassandra Kormendy, MSW, LSW
• Stephen Michael Koveck, DDS
• Deborah Joan Krause, PTA
• Zoe Krenz, RBT
• Shawn Michelle Kroft, FNP

• Occupational Therapist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.