Angela Rutkowski

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

641803 Issued in WI

Practice address

421 Court St
Chilton, WI 53014-1162

Phone

(920) 849-8109

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1952207961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 WHITETAIL RUN",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "541109328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COURT ST",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141162",
            "telephone_number": "920-849-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "641803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Ann Pribbernow, RN
• Craig D Rabideau, CST
• Debra Ann Rollmann, REGISTERED NURSE
• Tricia Ronk, RPH
• Tracy L Rosiek, O.D.
• Lisa Kaye Schabach, APNP
• Angela N Schaefer, LAT, ATC
• Audrey E Schmidt
• Megan Schmitt, MA
• Nicole Marie Schmitz, P.T.A.

• Pediatric Occupational Therapist in Chilton, WI
• Providers in Chilton, WI by specialty
• Pediatric Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.