Individual provider Active NPI

Kristin Donovan, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1225613482
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008376 Issued in AZ
Practice address
7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641
Phone
(602) 870-7470
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-008376 AZ Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201014310 MI

Addresses

Primary practice location

7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641

Mailing address

15850 N Thompson Peak Pkwy Apt 2015
Scottsdale, AZ 85260-2120
Phone (248) 330-7636

Other practice location 1

5060 Jackson Rd Ste D
Ann Arbor, MI 48103-1867
Phone (734) 627-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014001227 MI Practitioner - Occupational Therapist in Private Practice 3971919002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Skills Community Rehabilitation and Associates LLCGroup PAC ID 3678724028, 18 clinicians

Practice addresses (Care Compare)

5060 Jackson Rd
Suite D
Ann Arbor, MI 48103-1867
Phone (734) 627-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201014310MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Skills Community Rehabilitation & Associates LLC Multi-Specialty CurrentSince Nov 26, 2025 Accepting new patients
Life Skills Community Rehabilitation & Associates LLC Multi-Specialty CurrentSince Nov 26, 2025 Accepting new patients
Rehab Without Walls, Inc. CurrentSince Mar 16, 2021 Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 120
Phoenix, AZ 85020
Phone (602) 870-7470

5060 Jackson Rd
Ste D
Ann Arbor, MI 48103
Phone (734) 627-8001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1225613482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 N THOMPSON PEAK PKWY APT 2015",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602120",
            "telephone_number": "248-330-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204641",
            "telephone_number": "602-870-7470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5060 Jackson Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481031867",
            "country_code": "US",
            "telephone_number": "734-627-8001",
            "fax_number": "734-433-1989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KRISTIN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008376",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.