Kim Krystal Koike · Occupational Therapist

3712 Fiddlers Creek Dr., Waukesha, WI 53188

Overview

Kim Krystal Koike is a Occupational Therapist practicing in Waukesha, Wisconsin. The National Provider Identifier (NPI) is #1699279604, which was assigned on March 23, 2018, and the registration record was last updated on June 7, 2023. The practitioner's main practice location is at 3712 Fiddlers Creek Dr., Waukesha, WI 53188; the contact telephone number is 3146404724. The primary taxonomy of Kim Krystal Koike is Occupational Therapist (225X00000X). Kim Krystal Koike is licensed to practice in the state of Missouri (#001148), Missouri (#001148), Missouri (#001148), Wisconsin (#6645-26).

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.

Provider Information

NPI 1699279604
Entity Type Individual
Provider Name KIM KRYSTAL KOIKE
Gender Female
Credential OTR
Practice Address 3712 Fiddlers Creek Dr.
Waukesha
WI 53188
Practice Telephone 3146404724
Mailing Address 2014 S 102nd St Apt 309
West Allis
WI 53227-1350
Mailing Telephone 3146404724
Certification Date 2023-06-07
Enumeration Date 2018-03-23
Last Update Date 2023-06-07
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 7719345875
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name KIM KRYSTAL KOIKE
Primary Specialty OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Organization Legal Name OASIS THERAPY SERVICES LLC
Address 631 Hazel St
Oshkosh
WI 54901-4600

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N2083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine001148MO
N2083X0100XPreventive MedicineOccupational Medicine001148MO
N208VP0014XPain MedicineInterventional Pain Medicine001148MO
Y225X00000XOccupational Therapist6645-26WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
001148MOERGONOMICS/INJURY PREVENTION & OCCUPATIONAL THERAPYOther

Secondary Practice Locations

AddressTelephoneFax
5737 Erie St, Racine, WI 5340219703146404724

Taxonomy Information

Primary Taxonomy

Code 225X00000X
Taxonomy Occupational Therapist
Classification Occupational Therapist
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: 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.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Other Taxonomy

Code 2083P0500X
Taxonomy Preventive Medicine/Occupational Environmental Medicine Physician
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Other Taxonomy

Code 2083X0100X
Taxonomy Occupational Medicine Physician
Classification Preventive Medicine
Specialization Occupational Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Other Taxonomy

Code 208VP0014X
Taxonomy Interventional Pain Medicine Physician
Classification Pain Medicine
Specialization Interventional Pain Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Professional Occupational & Physical Therapy, PLLC 971f Main St Fl 1, Holbrook, NY 11741-1605Occupational Therapist2026-06-05
Aiden Darcy 9881 Bridgeport Way Sw, Lakewood, WA 98499-2805Occupational Therapist2026-06-06
Teri Sharlow 4141 Shore Dr, Indianapolis, IN 46254-2607Occupational Therapist2026-06-06
Katherine Smith 814 S Broadway St, Church Point, LA 70525-4402Occupational Therapist2026-06-05
Peak Physical Therapy, LLC 1409 W Chapman Dr Ste 400, Sanger, TX 76266-1770Occupational Therapist2026-06-05
Marissa Stewart 1278 40th Ave, San Francisco, CA 94122-1237Occupational Therapist2026-06-05
Madison Maria Duff 9650 Gross Point Rd, Skokie, IL 60076-1214Occupational Therapist2026-06-05
Jacqueline Shalamov Occupational Therapy P.C. 10240 67th Rd Apt 2d, Forest Hills, NY 11375-2641Occupational Therapist2026-06-05
Hannah Grace Nagy 74 Hudson St, Hoboken, NJ 07030-6191Occupational Therapist2026-06-05
Kathryn Leigh Woldt 7336 Se Bybee Blvd, Portland, OR 97206-7252Occupational Therapist2026-06-05
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Location Information

Street Address 3712 FIDDLERS CREEK DR.
City WAUKESHA
State WI
Zip Code 53188
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Loyal Loving Hands Healthcare LLC N91w24400 Riverwood Drive, Suite 350, Waukesha, WI 53188Personal Care Attendant2025-05-02
Ashley Susan Callahan 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188Dental Hygienist2018-07-19
Melissa Ann Kohnert N17w24222 Riverwood, 170, Pewaukee, WI 53188Clinical Social Worker2024-12-09
Emily Elizabeth Seefeld 29667 Summit Ave S11, Waukesha, WI 53188Occupational Therapy Assistant2018-12-05
Nicole Craig Waukesha Expo Center, 1000 Northview Rd, Waukesha, WI 53188Ambulatory Care Registered Nurse2021-03-11
Patricia Marie Sombrio · Sombrio Marie Vanderheyden 711 Moreland Blvd 204, Waukesha, WI 53188Dental Hygienist2017-09-04
Robert Ryan Leahy · R. Ryan Leahy N19w24400 Riverwood Drive, Suite 350 Pmb17043677, Waukesha, WI 53188Forensic Psychiatry Physician2013-04-17
Michelle Koch 29667 Summit Ave. S11, Waukesha, WI 53188Occupational Therapist2015-12-03
Therapeutic Healing, LLC 2609 N. Grandview Blvd., Suite 150, Waukesha, WI 53188Occupational Therapist2014-02-13
Christopher Olson W231 N1013 County Hwy F, Waukesha, WI 53188Community Health Worker2021-04-22
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.