Organization Active NPI

Occupational Therapy and Hand Clinic LLC

  • Occupational Therapist
  • West Bend, WI
National Provider Identifier
1861672792
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2453026 Issued in WI
Legal business name
OCCUPATIONAL THERAPY AND HAND CLINIC LLC
Practice address
279 S 17TH Ave
St 10a
West Bend, WI 53095
Phone
(262) 335-2094
Fax
(262) 335-2105
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Karen Marie Guhl, OTRNPI 1548338379
Title
Single Member Owner LLC
Phone
(262) 335-2094

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 2453026 WI Primary

Addresses

Primary practice location

279 S 17TH Ave
St 10a
West Bend, WI 53095

Mailing address

279 S 17TH Ave
St 10a
West Bend, WI 53095
Phone (262) 335-2094

Other names 1

  • AKA OT and Hand Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

279 S 17th Ave
Stop 10A
West Bend, WI 53095
Phone (262) 335-2094

279 S 17th Ave
Stop 10
West Bend, WI 53095
Phone (262) 306-8994

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1861672792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S 17TH AVE",
            "address_2": "ST 10A",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-335-2094",
            "fax_number": "262-335-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S 17TH AVE",
            "address_2": "ST 10A",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-335-2094",
            "fax_number": "262-335-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY AND HAND CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "GUHL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SINGLE MEMBER OWNER LLC",
        "authorized_official_telephone_number": "262-335-2094",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2453026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKA OT and Hand Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.