Kayla Marie Tubergen, OTD, OTR/L
NPI 1730607896ActiveIndividual· Occupational Therapist· Holly, MI
Occupational Therapist (OTD, OTR/L) in Holly, Michigan, trained at University of Michigan Medical School (class of 2023). Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1730607896 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTD, OTR/L |
| Sole proprietor | No |
| NPI issued | Sep 8, 2017 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 5201013715 | MI |
| Technician, Personal Care Attendant | 3747P1801X | — | — |
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) | Enrolled Practitioner - Occupational Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Level 11 Physical TherapyHolly, MI · 23 clinicians
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