KELLY JO KETTERHAGEN MSOTR
NPI 1043428287
Occupational Therapist - Human Factors in Menomonee Falls, WI

Q: What is Kelly Jo Ketterhagen's NPI number?

The NPI number for Kelly Jo Ketterhagen is 1043428287. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Q: What is Kelly Jo Ketterhagen's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Human Factors, with taxonomy code 225XH1300X.

Active since May 20, 2007Accepts Medicare Assignment

N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051(262) 255-7050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Jo Ketterhagen Msotr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JO KETTERHAGEN MSOTR (NPI 1043428287) is an individual human factors provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (4355-026) and active in the NPI registry since May 2007. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1043428287

Entity TypeIndividualFemale

Primary Taxonomy225XH1300X

Provider Legal NameKELLY JO KETTERHAGENCredential: MSOTR

Location AddressN84W17049 MENOMONEE AVEMenomonee Falls, WI 53051-2701

Mailing Address4685 Autumn TrlRichfield, WI 53076-9419

Phone(262) 255-7050

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateMay 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043428287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · Human FactorsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225XH1300X

License✔ Licensed in WI · 4355-026

N84W17049 MENOMONEE AVE, Menomonee Falls, WI 53051

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Other Identifiers 1

Medicaid40894900WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Jo Ketterhagen Msotr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355678244

PECOS Enrollment IDI20190815001655

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Training for self-care or home management, each 15 minutes 97535

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

292 services23 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

261 services25 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

239 services19 patients

Evaluation for occupational therapy, typically 45 minutes 97166

An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.

15 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMILY ANNE CONGER OTR

Occupational Therapist