Active NPI
Kaitlyn Woelke
- Occupational Therapist
- Davison, MI
National Provider Identifier
1013456656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009734
- Practice address
- 9100 Lapeer Rd Ste C
Davison, MI 48423-3620 - Phone
- (810) 653-0100
- NPI assigned
- Feb 15, 2017
- Last updated
- May 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201009734 | MI | Primary |
Addresses
Primary practice location
9100 Lapeer Rd Ste C
Davison, MI 48423-3620
Mailing address
8200 S Saginaw St
Grand Blanc, MI 48439-2468
Phone (810) 603-7008
Other practice location 1
301 Long Rapids Rd
Alpena, MI 49707-1317
Phone (989) 356-2194
Other names 1
- Kaitlyn Cubalo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009734 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamtramck Orthopedic Physical Therapy, Inc. | Past | Accepting new patients | |
| Neal M Alpiner MD PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optimal Rehab & Wellness
- Physical Therapy Clinic/Center
- Davison, MI
- NPI 1124027966
-
- Physical Medicine & Rehabilitation Physician
- Rochester Hills, MI
- NPI 1194886887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1013456656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 S SAGINAW ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392468",
"telephone_number": "810-603-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 LAPEER RD STE C",
"city": "DAVISON",
"state": "MI",
"postal_code": "484233620",
"telephone_number": "810-653-0100"
}
],
"practiceLocations": [
{
"address_1": "301 Long Rapids Rd",
"address_purpose": "LOCATION",
"city": "Alpena",
"state": "MI",
"postal_code": "497071317",
"country_code": "US",
"telephone_number": "989-356-2194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOELKE",
"first_name": "KAITLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "CUBALO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davison, MI
- Ronald A Williams, DMD
- Sydney Elizabeth Wills, MS-CCC-SLP
- John Whitmore Wiltz, D.D.S.,P.C.
- Amanda L. Winston, M.D.
- Tammy Jean Withey
- Briana Jean Wojciechowski, PT, DPT, CLT
- Michelle Renee Wolcott
- Wolverine Physical Therapy LLC
- Women's Integrated Health Care, P.C.
- Womens OB/GYN and Bladder Solutions Center, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.