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NPI 1902170202ActiveOrganization· Occupational Therapist· Kalamazoo, MI
Occupational Therapist in Kalamazoo, Michigan, registered in NPPES in March 2012. The authorized official on file is Kelly Michelle Lewis, MS, OTR/L, Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902170202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2012 |
| Last updated in NPPES | Mar 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 5201006821 | MI |
| Occupational Therapist | 225X00000X | 5201007594 | MI |
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 Part B Supplier - Clinic/Group Practice (MI) |
|---|
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