Kristen D. Breimayer, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201006794 Issued in MI

Practice address

2251 East Paris Ave SE
Grand Rapids, MI 49546-2431

Phone

(616) 447-7799

Fax

(616) 447-7799

NPI assigned

Aug 28, 2007

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

Other identifiers 2

Other names 1

• Kristen D Thomas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1235323767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 BELLA VISTA DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418441",
            "telephone_number": "734-748-7144",
            "fax_number": "734-748-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 EAST PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462431",
            "telephone_number": "616-447-7799",
            "fax_number": "616-447-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIMAYER",
        "first_name": "KRISTEN",
        "middle_name": "D.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2679020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30435",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "THOMAS",
            "middle_name": "D",
            "credential": "MOT, OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randy James Breen, D.D.S.
• Abigail Breese, NP
• William R Breese, PA
• Carley Brehm
• Naomi Breiler, M.ED, BCBA
• Allyson M Breish, LMSW
• Page Breitfield
• Traci Breitmeyer
• Nicholas R Breland
• Anteneah Grace Bremby, LLMSW

• Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.