Active NPI
Kathryn M Withrow, OTR/L
- Occupational Therapist
- Ypsilanti, MI
National Provider Identifier
1104692185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007357
- Practice address
- 7425 Willis Rd
Ypsilanti, MI 48197-8919 - Phone
- (734) 484-7000
- NPI assigned
- Nov 30, 2023
- 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 | 5201007357 | MI | Primary |
Addresses
Primary practice location
7425 Willis Rd
Ypsilanti, MI 48197-8919
Mailing address
7466 Black Forest Dr
Dexter, MI 48130-9676
Phone (734) 972-2070
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201007357 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Therapy Services, Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
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dba JUMP-IN Professional Services
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- Hamburg, MI
- NPI 1467459826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789776000000",
"number": "1104692185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7466 BLACK FOREST DR",
"city": "DEXTER",
"state": "MI",
"postal_code": "481309676",
"telephone_number": "734-972-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 WILLIS RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978919",
"telephone_number": "734-484-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHROW",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2026-09-19",
"certification_date": "2026-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.