Kathryn Bachleda, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201011174 Issued in MI

Practice address

8175 Movie Dr
Brighton, MI 48116-7444

Phone

(248) 277-3005

NPI assigned

Jul 21, 2022

Last updated

Oct 5, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BWC Brighton LLC

  dba Blossom Children's Center-Brighton

  • Speech-Language Pathologist
  • Brighton, MI
  • NPI 1366282980
  NPD
• Willow Integrated Therapy

  • Pediatric Occupational Therapist
  • Ann Arbor, MI
  • NPI 1609429323
  NPD (past)

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1134854243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 MOVIE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167444",
            "telephone_number": "248-277-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 MOVIE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167444",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHLEDA",
        "first_name": "KATHRYN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axxis Massage, LLC
• Aya Audiological Consultants, LLC
• Joshua Michael Ayers, LMSW
• Jeyfil Ayudante, P.T.
• Holly Babcock
• Leah Paige Bachman, LMSW
• Olga C Bachmann-Thompson, PH.D.
• Amanda Grace Baerwalde
• Katherine Ann Bains, PT, DPT
• Julia Kathleen Baker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.