KATELYN CLARY (NPI# 1669084273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669084273 |
| Entity Type | Individual |
| Full Name | KATELYN CLARY |
| Practice Address |
430 Manor Dr Suring WI 54174-9182 |
| Mailing Address |
1657 Lenwood Ave Apt 7 Green Bay WI 54303-5397 |
| Practice Telephone | 9208422191 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
430 MANOR DR |
| City | SURING |
| State | WI |
| Zip Code | 54174-9182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145291 | Woodland Village, Inc. | Skilled Nursing Facility | 430 Manor Dr, Suring, WI 54174-9182 | 2005-06-24 |
| 1346841996 | Ariel Chiara Oviedo | Occupational Therapist | 430 Manor Dr, Suring, WI 54174-9182 | 2020-11-02 |
| 1568026904 | Bay At Suring Health and Rehabilitation Center LLC | Skilled Nursing Facility | 430 Manor Dr, Suring, WI 54174-9182 | 2019-04-30 |
| 1417484999 | Abigail Rose Konitzer | Speech-Language Pathologist | 430 Manor Dr, Suring, WI 54174-9182 | 2017-05-16 |
| 1538485255 | Dawn Christine Janiak | Physical Therapy Assistant | 430 Manor Dr, Suring, WI 54174-9182 | 2010-04-20 |
| 1972829620 | Michelle L Anker | Occupational Therapy Assistant | 430 Manor Dr, Suring, WI 54174-9182 | 2010-04-20 |
| 1699946939 | Karen Frances Schneider | Registered Nurse | 430 Manor Dr, Suring, WI 54174-9182 | 2008-03-14 |
| 1962613778 | John Kleczewski | Occupational Therapist | 430 Manor Dr, Suring, WI 54174-9182 | 2007-05-24 |
| 1992911796 | Woodland Village | Nursing Facility/Intermediate Care Facility | 430 Manor Dr, Suring, WI 54174-9182 | 2007-05-16 |
| 1316153919 | Lori Ann Beaumier | Physical Therapy Assistant | 430 Manor Dr, Suring, WI 54174-9182 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750412292 | St Clare Memorial Hospital, Inc | Nurse Practitioner | 913 East Main Street, Suring, WI 54174 | 2007-03-08 |
| 1053835173 | Kim M Berg | Occupational Therapist | 701 Willow Street, Peshtigo, WI 54174 | 2017-07-31 |
| 1003898867 | Karen Ann Zahn | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2005-11-17 |
| 1154984193 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 913 Main St, Suring, WI 54174-9012 | 2019-04-16 |
| 1316277056 | Community Memorial Hospital | Non-Pharmacy Dispensing Site | 913 Main St, Suring, WI 54174-9012 | 2009-12-31 |
| 1366622417 | Melissa Kamps | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-11-06 |
| 1457530156 | Kathleen Cecelia Raboin | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-30 |
| 1134308943 | Laura Blawat | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-29 |
| 1558540716 | Janet Lee Glime | Registered Nurse | 913 Main St, Suring, WI 54174-9012 | 2007-10-24 |
| 1578641031 | Diane Lynn Boneck | Licensed Practical Nurse | 233 N Krueger St, Suring, WI 54174-9014 | 2006-11-01 |
| Find all providers in zip 54174 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396270559 | Tosha Wagner | Physical Therapist | 6315 Quarry Vista Dr Apt 225, Fitchburg, WI 53719-9102 | 2017-04-25 |
| 1194185330 | Lauren Pollpeter | Physical Therapist | N104w20831 Willow Creek Rd, Colgate, WI 53017-9501 | 2016-03-01 |
| 1205279817 | Megan Oeth | Physical Therapist | 5025 Spaanem Ave, Madison, WI 53716-2837 | 2013-04-12 |
| 1811230253 | Rajeshwari N Iyer | Physical Therapist | 2738 Park Place Ln Apt 39, Janesville, WI 53545-5267 | 2013-04-04 |
| 1902131931 | Richard Lewis | Physical Therapist | 6341 Johnston Dr, Two Rivers, WI 54241-9671 | 2009-10-08 |
| 1285868513 | Dennis Borja Miranda | Physical Therapist | 311 W Kalsched St, Apt. 209, Marshfield, WI 54449-1466 | 2009-05-14 |
| 1932342011 | Linda Kettner Tucker | Physical Therapist | 5000 Mequon Road, Mequon, WI 53092 | 2009-04-20 |
| 1093963019 | Jessica M. Hoinacki | Physical Therapist | W2342 Puchyan Rd, Berlin, WI 54923-9486 | 2008-09-03 |
| 1396912333 | Sherilyn Weinert | Physical Therapist | 18365 Harvest Ln, Brookfield, WI 53045-5446 | 2008-05-09 |
| 1417163551 | Katherine Ann Brewer | Physical Therapist | W289n6369 Blackhawk Dr, Hartland, WI 53029-9448 | 2007-05-15 |
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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.