Kourtney Kaufman, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7116-27 Issued in WI

Practice address

2195 N Summit Village Way
Oconomowoc, WI 53066-8675

Phone

(262) 567-4662

NPI assigned

Sep 9, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mjcare, Inc.

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
  • NPI 1316908908
  NPD (past)

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1992531917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SMALL FARM RD",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491462",
            "telephone_number": "414-943-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 N SUMMIT VILLAGE WAY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668675",
            "telephone_number": "262-567-4662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 S Moorland Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531513720",
            "country_code": "US",
            "telephone_number": "414-329-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "KOURTNEY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "7116-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Jones, PHD
• Gerald J. Kallas, M.D.
• Susan M Karman, RN
• Kimberly J Kastner, M.D.
• Katherine a. Knabe, LLC
• Tyese Kazee
• Rebecca Ann Keller, MPT
• Patricia R Kelley, RN
• Kelly Medical Services, S.C.
• Heidi Dawn Kenyon, RN

• Occupational Therapy Assistant in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Occupational Therapy Assistant in Wisconsin

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