Kettle Moraine Podiatry LLC
NPI 1174478424 · Foot & Ankle Surgery Podiatrist · Cedarburg, WI
Kettle Moraine Podiatry LLC is a Foot & Ankle Surgery Podiatrist organization in Cedarburg, WI (NPI 1174478424).
Provider details
- NPI number
- 1174478424
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Allyson Otten, Owner(262) 483-9424
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is Kettle Moraine Podiatry LLC's NPI number?
- Kettle Moraine Podiatry LLC's National Provider Identifier (NPI) is 1174478424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kettle Moraine Podiatry LLC?
- Kettle Moraine Podiatry LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Kettle Moraine Podiatry LLC located?
- Kettle Moraine Podiatry LLC's practice location on file with NPPES is W63n127 Washington Ave, Cedarburg, WI 53012-2724.
- What is Kettle Moraine Podiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Kettle Moraine Podiatry LLC is (262) 483-9424.
- Who is the authorized official for Kettle Moraine Podiatry LLC?
- The authorized official listed on Kettle Moraine Podiatry LLC's NPPES record is Allyson Otten, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kettle Moraine Podiatry LLC's NPI active?
- Yes — Kettle Moraine Podiatry LLC's NPI (1174478424) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.