Active NPI
Sarah Kendziorski, MS/OTRL
- Occupational Therapist
- Allegan, MI
National Provider Identifier
1043607617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005123
- Practice address
- 3283 122ND Ave
PO Drawer 130
Allegan, MI 49010-9511 - Phone
- (269) 673-5854
- NPI assigned
- Apr 22, 2015
- Last updated
- Apr 22, 2015
- 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 | 5201005123 | MI | Primary |
Addresses
Primary practice location
3283 122ND Ave
PO Drawer 130
Allegan, MI 49010-9511
Mailing address
3283 122ND Ave
PO Drawer 130
Allegan, MI 49010-9511
Phone (269) 673-5854
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201005123 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1043607617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3283 122ND AVE",
"address_2": "PO DRAWER 130",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109511",
"telephone_number": "269-673-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3283 122ND AVE",
"address_2": "PO DRAWER 130",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "490109511",
"telephone_number": "269-673-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDZIORSKI",
"first_name": "SARAH",
"name_prefix": "Ms.",
"credential": "MS/OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.