Katrina Maria Decanini, OTR/L, LSVT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

18245 E 10 Mile Rd Ste 130
Roseville, MI 48066-5807

Phone

(586) 774-3100

NPI assigned

Mar 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plymouth Physical Therapy Specialists Limited PartnershipGroup PAC ID 3870488521, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Northville, MI
  • NPI 1174626329
  Medicare reassignment Care Compare group NPD
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Garden City, MI
  • NPI 1184084840
  NPD

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1124888649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18245 E 10 MILE RD STE 130",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 E 10 MILE RD STE 130",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665807",
            "telephone_number": "586-774-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECANINI",
        "first_name": "KATRINA",
        "middle_name": "MARIA",
        "credential": "OTR/L, LSVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Zalenski MD PLLC
• Bronwyn Marea Davis, MA, LPC
• Dawn New Awakening LLC
• Michael E Dean
• Mitchell Connor Deansmyth, OTR
• Mazin Mohi Deen, M.D.
• Anthony Delise III, MD
• Deluxe Dental Associates #8 Roseville PLLC (Deluxe Dental)
• Dental Health Group of Michigan
• Dentalworks

• Occupational Therapist in Roseville, MI
• Providers in Roseville, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.