Krysta Kaye Duffany, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

49674

Practice address

2800 Livernois
BLDG E Ste 162
Troy, MI 48083

Phone

(313) 999-1866

Fax

(248) 528-6667

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Krysta Kaye Kozlowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehab Pathways Group Inc.

  • Physical Disabilities Residential Treatment Facility
  • Troy, MI
  • NPI 1780939116
  NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1093525933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 GRASS VALLEY DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831804",
            "telephone_number": "313-999-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LIVERNOIS",
            "address_2": "BLDG E STE 162",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "313-999-1866",
            "fax_number": "248-528-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFANY",
        "first_name": "KRYSTA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": "49674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTA",
            "last_name": "KOZLOWSKI",
            "middle_name": "KAYE",
            "prefix": "MISS",
            "credential": "CTRS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Jean Dsouza, PHD
• Dua LLC
• Janet K Dubeck, MD
• Calmeze Henike Dudley Jr., MD
• Amanda Duemling
• Michael C Duffy, MD
• Patricia M Duggan, MD
• Damiera Dumas, RN
• Emily Dumitrescu, MA CCC SLP
• Kristin Dunaway, NP-C

• All providers in Troy, MI
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.