Ursula Kotzabassi, OTRL

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

5201007237 Issued in MI

Practice address

10909 Hannan Rd
Romulus, MI 48174-1383

Phone

(734) 893-1031

NPI assigned

Jun 6, 2014

Last updated

Jun 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ursula Khan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Resilire Neurorehabilitation

  • Rehabilitation Clinic/Center
  • Troy, MI
  • NPI 1386254340
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1114330263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 HANNAN RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 HANNAN RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741383",
            "telephone_number": "734-893-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTZABASSI",
        "first_name": "URSULA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201007237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URSULA",
            "last_name": "KHAN",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Kirk
• Elizabeth Kirshner, NP
• Robin Kiser
• Renee Kish, LMSW
• Chavella Knight
• Hannah Krzyske, OTRL
• Sydney Taylor Kurtz
• Renya Lacombe
• Jane Dorothy Latessa, R.N.
• Lynn Lawlor, CNP

• Neurorehabilitation Occupational Therapist in Romulus, MI
• Providers in Romulus, MI by specialty
• Neurorehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.