Active NPI
Kathleen Kreuziger, OTR
- Occupational Therapist
- Oak Creek, WI
National Provider Identifier
1871849166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 99999
- Practice address
- 8619 S Howell Ave
Oak Creek, WI 53154-2919 - Phone
- (414) 856-1888
- Fax
- (414) 727-5779
- NPI assigned
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 99999 | WI | Primary |
Addresses
Primary practice location
8619 S Howell Ave
Oak Creek, WI 53154-2919
Mailing address
PO Box 11327
Shorewood, WI 53211-0327
Phone (414) 856-1888
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99999 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- West Allis, WI
- NPI 1700146230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1871849166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11327",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532110327",
"telephone_number": "414-856-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542919",
"telephone_number": "414-856-1888",
"fax_number": "414-727-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUZIGER",
"first_name": "KATHLEEN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "99999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.