Kennedy Fabian, COTA/L
NPI 1679293310ActiveIndividual· Occupational Therapy Assistant· La Crosse, WI
Occupational Therapy Assistant (COTA/L) in La Crosse, Wisconsin, licensed in WI and IL, with an NPI issued in September 2022.
Overview
| NPI | 1679293310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA/L |
| Sole proprietor | No |
| NPI issued | Sep 1, 2022 |
| Last updated in NPPES | Sep 3, 2026 |
| Certified by provider | Sep 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 7094-27 | WI |
| Occupational Therapy Assistant | 224Z00000X | 057.005857 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Occupational Therapy Assistant providers in La Crosse
- 1710184668
- 1558084921
- 1891100509
- 1275267510
- 1033024484
- 1093799793
- 1942404173
- 1154677250
- 1184608887
- 1255493243
- 1639154081
- 1205702214