John E Kleczewski, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3227-26 Issued in WI

Practice address

430 Manor Dr
Suring, WI 54174-9182

Phone

(920) 842-2191

Fax

(920) 842-2176

NPI assigned

May 24, 2007

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1962613778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4575 STATE HIGHWAY 32",
            "city": "KRAKOW",
            "state": "WI",
            "postal_code": "541379087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MANOR DR",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749182",
            "telephone_number": "920-842-2191",
            "fax_number": "920-842-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECZEWSKI",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3227026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3227-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40894800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Douglas Cook, D.C.
• Janet Lee Glime, RN
• Julia Heckl, RN
• Dawn Christine Janiak, PTA
• Melissa Kamps, RN
• Abigail Rose Konitzer, M.S., CCC-SLP
• Benjamin Jonathan Krohn, PTA
• Rebecca McGrew, RN
• Pamela Nelson, RN
• Oconto Hospital & Medical Center Inc (Bellin Health Suring)

• Occupational Therapist in Suring, WI
• Providers in Suring, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.