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 & Directions
Nicole 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 NumberSpecializationStateStatus
4230026Occupational Therapy WisconsinPrimary
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.
IdentifierTypeStateIssuer
11781771OtherWisconsinCAQH
1295844603MedicaidWisconsin
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.