Active NPI
Kecia K Lewis
- Occupational Therapy Assistant
- Belding, MI
National Provider Identifier
1154684181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5202002030
- Practice address
- 8169 Ingalls Rd
Belding, MI 48809-9715 - Phone
- (616) 490-4722
- NPI assigned
- Jun 25, 2012
- Last updated
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202002030 | MI | Primary |
| Occupational Therapy Assistant | 224Z00000X | 211179 | TX |
Addresses
Primary practice location
8169 Ingalls Rd
Belding, MI 48809-9715
Mailing address
8169 Ingalls Rd
Belding, MI 48809-9715
Phone (616) 490-4722
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202002030 | MI | MD | Occupational Therapy Assistant |
| 211179 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1154684181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8169 INGALLS RD",
"city": "BELDING",
"state": "MI",
"postal_code": "488099715",
"telephone_number": "616-490-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8169 INGALLS RD",
"city": "BELDING",
"state": "MI",
"postal_code": "488099715",
"telephone_number": "616-490-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KECIA",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202002030",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "211179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belding, MI
- Hometown Pharmacy Inc (HomeTown Pharmacy #60 - Belding)
- Inspired Mental Health & Wellness LLC
- Fanny Jerusha Johns
- Kaylee Kruse Mind-Body Therapy, LLC
- Kinser Family Dentistry, LLC (Belding Family Dentistry)
- Linda Lee Satterlee, D.O. Family Practice, P.C.
- Kaylah Renee Magdic
- Arthur Thomas Mahar, R.PH.
- Tara Mathewson
- Matthew D Cooper DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.