Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Krystal Koike, OTR

Individual provider Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1699279604

Kim Krystal Koike, OTR is an Occupational Therapist in Private Practice in Waukesha, Wisconsin. Qualified in 1990, 36 years ago. Practices with Oasis Therapy Services LLC, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
36
Licensed in
MO, WI
In the registry since
2018
Specialties on file
5
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3712 Fiddlers Creek Dr
Waukesha, WI 53188
Phone: (314) 640-4724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5737 Erie St, Racine, WI 53402-1970 — (314) 640-4724

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6645-26 (WI)
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X · Licence 001148 (MO)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 001148 (MO)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 001148 (MO)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1699279604
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMarch 23, 2018
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Oasis Therapy Services Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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