KASSANDRA R KOSTOCK MSOT
NPI 1073158937
Occupational Therapist in Lake Geneva, WI

Active since November 14, 2019
700 GENEVA PKWY N STE A, LAKE GENEVA, WI 53147(262) 249-3505 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2021, Feb 10, 2020, Feb 4, 2020 and 1 more (4 updates tracked since 2019).

  • Individual
  • Female
  • Occupational Therapist

About KASSANDRA KOSTOCK

This page provides the complete NPI Profile along with additional information for Kassandra Kostock, a provider established in Lake Geneva, Wisconsin with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1073158937 assigned on November 2019. The practitioner's primary taxonomy code is 225X00000X with license number 6675-26 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1073158937 Verify this NPI
Provider Name
KASSANDRA R KOSTOCK MSOT
Other Name
KASSANDRA R KANAGA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
700 GENEVA PKWY N STE A LAKE GENEVA, WI 53147
Location Phone
(262) 249-3505
Mailing Address
3301 W FOREST HOME AVE MILWAUKEE, WI 53215
Is Sole Proprietor?
No
Enumeration Date
11-14-2019
Last Update Date
11-15-2021
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Location Map

Secondary Locations

  • 25250 75th St
    Salem, WI 53168
    (262) 843-4200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
6675-26
License State
WI
Taxonomy Description
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.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
700 GENEVA PKWY N STE A
LAKE GENEVA, WI 53147
Physical Therapist
700 GENEVA PKWY N STE A
LAKE GENEVA, WI 53147
Physical Therapist
700 GENEVA PKWY N STE A
LAKE GENEVA, WI 53147
Physical Therapist
700 GENEVA PKWY N STE A
LAKE GENEVA, WI 53147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073158937, enumerated as an "individual" on November 14, 2019.

The provider is located at 700 GENEVA PKWY N STE A LAKE GENEVA, WI 53147 and the phone number is (262) 249-3505.

Occupational Therapist with taxonomy code 225X00000X.