Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Nicole Ksionda, OTR/L

Individual provider Occupational Therapist · NPI 1558089987

Stephanie Nicole Ksionda, OTR/L is an Occupational Therapist in Private Practice in Appleton, Wisconsin. Qualified in 2021, 5 years ago. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3019 W Spencer St Ste 104
Appleton, WI 54914-5946
Phone: (520) 609-4324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 8028-26 (WI)

Record details

NPI number1558089987
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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