Kennedy Lake is a therapist based in Mount Pleasant, Wisconsin who is specialized in Occupational Therapy. Active license number of Kennedy Lake is 9045 for Occupational Therapy in Wisconsin. current practice location is 13250 Washington Ave, Mount Pleasant. Patients can reach at 262-799-8330. Kennedy Lake NPI number (Unique professional ID assigned by NPPES) is 1679435408.
Kennedy Lake 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.
Practice Information
Kennedy Lake specialty, credentials, practice address, contact phone number and fax are as below. Patients can contact the office at the given phone number for appointment.
Provider Name Kennedy Lake
Specialization Occupational Therapy
Gender X
Practice Address: 13250 Washington Ave, Mount Pleasant, WI - 53177-1516
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number1679435408
NPI Enumeration Date: 01 Dec, 2025
NPI Last Update On: 23 Dec, 2025
Medical Licenses:
Healthcare professionals can hold one or more medical licenses for different specialties in the same state or different states. Related medical licenses for Kennedy Lake are as mentioned below.
License NumberSpecializationStateStatus
9045Occupational Therapy
WisconsinPrimary
Other Medical Identifiers
Other legacy medical identifiers associated with Kennedy Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100390531MedicaidWisconsin
Mailing Address
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.
Kennedy Lake Po Box 735044, Chicago, IL - 60673-5044 Phone: 800-326-2250
Book an Appointment with Kennedy Lake
To schedule an appointment, contact Kennedy Lake at 13250 Washington Ave, Mount Pleasant, Wisconsin or call on below stated phone number.
Below are some commonly asked questions about Kennedy Lake:
Kennedy Lake is an occupational therapist specializing in Occupational Therapy. 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.
Yes, Kennedy Lake is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment. *Availability may change. Please contact the office directly to ask about appointments.
Kennedy Lake practices at 13250 Washington Ave, Mount Pleasant, Wisconsin, 53177-1516.
To schedule an appointment with Kennedy Lake, please contact the office at 262-799-8330.
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