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Kenneth Pitt

Occupational Therapy Assistant in New Berlin, WI. Individual provider (NPI-1).

NPI number1649607474
StatusActive
Last updated in NPPESOct 11, 2013

Details

NPI
1649607474
Entity type
Individual (NPI-1)
Name
Mr. Kenneth Pitt
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 11, 2013
Last updated
Oct 11, 2013

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 codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant620-027WIYes

Practice location

12765 W Hickory Ct
New Berlin, WI 53151-4613

Phone 414-258-8492

Mailing address

12765 W Hickory Ct
New Berlin, WI 53151-4613

Phone 414-258-8492

Is something wrong?

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.

Other Occupational Therapy Assistant providers in New Berlin, WI

All 8 Occupational Therapy Assistant providers in New Berlin · All 828 providers in New Berlin

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