Lesley Larsen Kountz, COTA
Occupational Therapy Assistant in Brookfield, WI. Individual provider (NPI-1).
NPI number1609059583
StatusActive
Last updated in NPPESDec 13, 2007
Details
- NPI
- 1609059583
- Entity type
- Individual (NPI-1)
- Name
- Lesley Larsen Kountz
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2007
- Last updated
- Dec 13, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 245 | WI | Yes |
Practice location
17280 W North Ave#104
Brookfield, WI 53045-4366
Phone 262-780-0707
Mailing address
17280 W North Ave#104
Brookfield, WI 53045-4366
Phone 262-780-0707
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Occupational Therapy Assistant providers in Brookfield · All 2,564 providers in Brookfield
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