KRISTIN HODKIEWICZ (NPI# 1508039983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508039983 |
Entity Type | Individual |
Full Name | KRISTIN HODKIEWICZ |
Practice Address |
855 S Main St Oconto Falls WI 54154-1241 |
Practice Telephone | 9208463444 |
Mailing Telephone | 9208463444 |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3561-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 11014100 | 05 | |
WI | 11014110 | 05 | |
WI | 40902500 | 05 | |
WI | BLUE CROSS | 390848401050 | 01 |
WI | LICENSE NUMBER | 3561-26 | 01 |
Street Address |
855 S MAIN ST |
City | OCONTO FALLS |
State | WI |
Zip Code | 54154-1241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821073818 | Dawn Fifarek | Nurse Anesthetist, Certified Registered | 855 S Main St, Oconto Falls, WI 54154-1241 | 2005-12-13 |
1275140857 | Megan Piotrowski | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2020-09-28 |
1780238584 | Steven Bomkamp | Nurse Practitioner | 855 S Main St, Oconto Falls, WI 54154-1241 | 2019-07-30 |
1013455252 | Erin Bancroft | Nurse Practitioner | 855 S Main St, Oconto Falls, WI 54154-1241 | 2017-02-08 |
1245630219 | Olivia Marie Smaney | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2014-08-27 |
1679980478 | Pain Centers of Wisconsin - Oconto Falls, LLC | Clinic/Center | 855 S Main St, Suite B-200, Oconto Falls, WI 54154-1241 | 2014-07-14 |
1700203452 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 855 S Main St, Oconto Falls, WI 54154-1241 | 2014-03-19 |
1891132387 | Lindsey Laux | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2013-05-24 |
1245593656 | Tamara North | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2012-06-20 |
1265798946 | Sara Uecke | Physical Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2012-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578967220 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 853 South Main St, Suite A, Oconto Falls, WI 54154 | 2014-10-09 |
1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
1881869949 | Shari L Pfankuch | Occupational Therapist | 100 E Highland Drive, Sharpe Care, Oconto Falls, WI 54154 | 2008-04-29 |
1861666588 | Angela Irene Vancleve | Occupational Therapy Assistant | 100 E. Highland Drive, Oconto Falls, WI 54154 | 2008-04-14 |
1861793440 | Debra Kay Munes | Dentist | 248 North Main Street, Oconto Falls, WI 54154 | 2010-11-12 |
1194034850 | Forefront Dermatology, S.c. | Dermatology | 835 S Main St, Suite 1, Oconto Falls, WI 54154 | 2010-09-29 |
1851565774 | Marcy Ann Neitzer | Physical Therapy Assistant | 100 E Highland Dr, Oconto Falls, WI 54154 | 2008-04-22 |
1427168863 | Oconto Falls Dental Sc | Dentist | 248 N Main St, Oconto Falls, WI 54154 | 2006-08-30 |
1447235148 | David J Bell | Counselor | 107 E Highland Dr, Oconto Falls, WI 54154 | 2005-12-14 |
1306831052 | Heyde Health System Oconto Falls LLC | Skilled Nursing Facility | 100 E Highland Dr, Oconto Falls, WI 54154-1001 | 2005-09-19 |
Find all providers in zip 54154 |
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 |
---|---|---|---|---|
1881869949 | Shari L Pfankuch | Occupational Therapist | 100 E Highland Drive, Sharpe Care, Oconto Falls, WI 54154 | 2008-04-29 |
1245593656 | Tamara North | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2012-06-20 |
1144541285 | St Clare Memorial Hospital, Inc | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2010-06-11 |
1588837967 | Vickie Kafka Keigley | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2008-04-08 |
1265469944 | Jessica A Kaczmarek | Occupational Therapist | 855 S Main St, Oconto Falls, WI 54154-1241 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
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City | OCONTO FALLS |
Zip Code | 54154 |
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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.