Nicole M Iwanowski
OTR/L, CLT | Occupational Therapist | 22+ years Exp
10222 74th St, Suite 211, Kenosha
Wisconsin, 53142-6810
262-925-5020 262-925-5021
Maps & DirectionsNicole M Iwanowski is a Kenosha, Wisconsin based therapist with 22 years of experience in Occupational Therapy. She completed her graduation in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole M Iwanowski is 4230026 for Occupational Therapy in Wisconsin. Her current practice location is 10222 74th St, Suite 211, Kenosha. Patients can reach her at 262-925-5020 or can fax her at 262-925-5021. Nicole M Iwanowski is OTR/L, CLT in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1295844603.
Nicole M Iwanowski 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.
Complete Profile:
Nicole M Iwanowski speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicole M Iwanowski |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR/L, CLT |
| Experience: | 22+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 10222 74th St, Suite 211, Kenosha, Wisconsin, 53142-6810 |
| Phone: | 262-925-5020 |
| Fax: | 262-925-5021 |
Professional Identification Codes:
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.
| PAC ID: | 5799731667 |
| Enrollment ID: | I20050323001024 |
| NPI Number: | 1295844603 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 19 Oct, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole M Iwanowski are as mentioned below.
| License Number | Specialization | State | Status | |
| 4230026 | Occupational Therapy | Wisconsin | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicole M Iwanowski is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Advantage Physical Therapy And Sports Rehab, Llc (8022016336) | 29 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole M Iwanowski such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 11781771 | Other | Wisconsin | CAQH |
| 1295844603 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole M Iwanowski 600 52nd St, Suite 240 Kenosha, Wisconsin |
| Zip: | 53140-3423 |
| Phone Number: | 262-925-5004 |
| Fax Number: | 262-925-5001 |
Patients can reach Nicole M Iwanowski at
10222 74th St, Suite 211, Kenosha, Wisconsin or can
call to book an appointment on 262-925-5020.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.