Kathryn Bachleda, OT

Individual provider Active NPI Occupational Therapist · Brighton, MI

NPI 1134854243 · NPPES record last updated Oct 5, 2022

Key facts

NPI
1134854243
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201011174 (MI)
Practice address
8175 Movie Dr
Brighton, MI 48116-7444
Phone
(248) 277-3005
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5201011174MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BWC Brighton LLC Current
since Jun 2, 2024
Accepting new patients
Willow Integrated Therapy Occupational Therapist Past
since Jul 1, 2022
Accepting new patients

Locations

8175 Movie Dr
Brighton, MI 48116
Phone (248) 277-3005

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201011174 MI Yes

Addresses

Primary practice location

8175 Movie Dr
Brighton, MI 48116-7444

Mailing address

8175 Movie Dr
Brighton, MI 48116-7444
Phone (248) 277-3005

Other providers in Brighton, MI

All providers in Brighton, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.