Individual provider Active NPI

Kyle Harbin, MBA, OTR/L

  • Occupational Therapist
  • Okemos, MI
National Provider Identifier
1114428190
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201006918 Issued in MI
Practice address
3680 Dobie Rd
Okemos, MI 48864-3953
Phone
(517) 381-6100
NPI assigned
Feb 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201006918 MI Primary

Addresses

Primary practice location

3680 Dobie Rd
Okemos, MI 48864-3953

Mailing address

818 N East St
Eaton Rapids, MI 48827-9238

Other practice location 1

818 N East St
Eaton Rapids, MI 48827-9238
Phone (248) 939-0521

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 Business Administration

State licenses

LicenseStateTypeSpecialty
5201006918MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114428190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EAST ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488279238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 DOBIE RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643953",
            "telephone_number": "517-381-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 N East St",
            "address_purpose": "LOCATION",
            "city": "Eaton Rapids",
            "state": "MI",
            "postal_code": "488279238",
            "country_code": "US",
            "telephone_number": "248-939-0521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "MBA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.