Individual provider Active NPI

Gayle Naomi Kokmeyer, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1033778683
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
5201001785 Issued in MI
Practice address
820 John St Ste 104
Kalamazoo, MI 49001-2836
Phone
(269) 341-8025
Fax
(269) 341-6511
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 5201001785 MI Primary

Addresses

Primary practice location

820 John St Ste 104
Kalamazoo, MI 49001-2836

Mailing address

820 John St Ste 104
Kalamazoo, MI 49001-2836
Phone (269) 341-8025

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201001785MIMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1033778683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JOHN ST STE 104",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012836",
            "telephone_number": "269-341-8025",
            "fax_number": "269-341-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JOHN ST STE 104",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012836",
            "telephone_number": "269-341-8025",
            "fax_number": "269-341-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKMEYER",
        "first_name": "GAYLE",
        "middle_name": "NAOMI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201001785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.