Kelly Foreman, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202008431 Issued in MI

Practice address

601 E Main St
Hart, MI 49420-1144

Phone

(231) 873-3577

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By 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)

Not 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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120
  NPD
• Lakeside Comprehensive Rehabilitation Inc.

  • Physical Therapy Clinic/Center
  • Hart, MI
  • NPI 1396779542
  NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1194614883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "KELLY",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Donjon
• Bianca Escamilla
• Family Tree Adult Foster Care, Inc.
• Valerie Fedewa, DC
• Kaitlyn Felt, OTR/L
• Annette Louise Fortino, LCSW ACSW CAC-II
• Leigh B Furgason, PHARMACIST
• Carmen Garcia
• Ronald E Graeser, DO
• Kaitlyn Haner

• Occupational Therapy Assistant in Hart, MI
• Providers in Hart, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.