KATHLEEN MARY KOHLBECK (NPI# 1497937445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497937445 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARY KOHLBECK |
| Credential | OTR |
| Practice Address |
N546 Schroeter Dr Random Lake WI 53075-1272 |
| Practice Telephone | 9202073550 |
| Practice Fax Number | 9209944606 |
| Mailing Telephone | 9202073550 |
| Mailing Fax Number | 9209944606 |
| Enumeration Date | 2007-12-02 |
| Last Update Date | 2007-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1704-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | GROUP PROVIDER NUMBER | 000080125 | 01 |
| Street Address |
N546 SCHROETER DR |
| City | RANDOM LAKE |
| State | WI |
| Zip Code | 53075-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417901141 | Marlena Elizabeth Salazar | Physical Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2006-05-19 |
| 1851779185 | Carli V Mueller | Student in an Organized Health Care Education/Training Program | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2015-05-06 |
| 1700043437 | Julie M. Schmitt | Physical Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2008-05-20 |
| 1225233323 | Richard Polk | Physical Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2007-06-19 |
| 1710190814 | Linda Stempel | Occupational Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2007-05-07 |
| 1750442885 | Melissa Catherine Straub | Occupational Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2006-12-13 |
| 1114086881 | Badieh Karps | Occupational Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2006-12-08 |
| 1205880531 | Barbara Junge Mueller | Occupational Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659543205 | Random Lake Spine & Sports Clinic | Clinic/Center | 321 Carroll St., Random Lake, WI 53075 | 2008-03-24 |
| 1134335169 | Jill Shea Suess | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-05-15 |
| 1285854240 | Random Lake Medical Center LLC | Family Medicine | N639 Silver Creek Cascade Road, Random Lake, WI 53075 | 2007-05-01 |
| 1437274925 | Barbara Alice Weber | Family Medicine | N639 Silver Creek Cascade Rd, Random Lake, WI 53075 | 2007-03-21 |
| 1487980074 | Megan C Horn | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-11-02 |
| 1790916443 | Virginia K Bowen | Physical Therapist | 402 First Street, Random Lake, WI 53075 | 2009-07-29 |
| 1679701742 | Jamie L. Carter | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-06-29 |
| 1205032786 | Valerie Jean Stone | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-06-22 |
| 1316978893 | Jensen Interhealth | Physical Therapist | 233 Carroll St, Random Lake, WI 53075 | 2006-07-05 |
| 1629380167 | Amie L Wilson | Occupational Therapist | 402 First St, Random Lake, WI 53075-0323 | 2010-07-13 |
| Find all providers in zip 53075 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629380167 | Amie L Wilson | Occupational Therapist | 402 First St, Random Lake, WI 53075-0323 | 2010-07-13 |
| 1134335169 | Jill Shea Suess | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-05-15 |
| 1578515755 | Mueller Therapy, Inc. | Occupational Therapist | 402 First St., Random Lake, WI 53075-1272 | 2006-05-16 |
| 1598156598 | Jenna Dieringer | Occupational Therapist | 402 1st St, Random Lake, WI 53075-1772 | 2015-02-11 |
| 1891092102 | Angela Marie Becker | Occupational Therapist | 402 First Street, Random Lake, WI 53075-0323 | 2011-02-23 |
| 1700198678 | Michelle L Feierstein | Occupational Therapist | 402 First Street, Random Lake, WI 53075-0323 | 2010-07-08 |
| 1487980074 | Megan C Horn | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-11-02 |
| 1679701742 | Jamie L. Carter | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2009-06-29 |
| 1205032786 | Valerie Jean Stone | Occupational Therapist | 402 First Street, Random Lake, WI 53075 | 2007-06-22 |
| 1710190814 | Linda Stempel | Occupational Therapist | N546 Schroeter Dr, Random Lake, WI 53075-1272 | 2007-05-07 |
| Find all providers in RANDOM LAKE | ||||
| City | RANDOM LAKE |
| Zip Code | 53075 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.