Individual provider Active NPI

Kaitlyn Woelke

  • Occupational Therapist
  • Davison, MI
National Provider Identifier
1013456656
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009734 Issued in MI
Practice address
9100 Lapeer Rd Ste C
Davison, MI 48423-3620
Phone
(810) 653-0100
NPI assigned
Feb 15, 2017
Last updated
May 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
5201009734MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamtramck Orthopedic Physical Therapy, Inc. PastSince May 1, 2019 Accepting new patients
Neal M Alpiner MD PLLC PastSince Aug 16, 2018 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.

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

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.

Verify at the official NPI Registry.