Active NPI
Kaitlyn Landess, OTD, OTR/L
- Occupational Therapist
- Holly, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008184
- Practice address
- 10483 Dixie Hwy
Holly, MI 48442-9311 - Phone
- (810) 771-7686
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | OTH-008184 | AZ | Primary |
| Occupational Therapist | 225X00000X | 5201013699 | MI |
Addresses
Primary practice location
10483 Dixie Hwy
Holly, MI 48442-9311
Mailing address
10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686
Other practice location 1
1190 W. Missouri Ave
Suite 100
Phoenix, AZ 85014
Phone (602) 393-0520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
Practice addresses (Care Compare)
10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level Eleven Saginaw | Current | Accepting new patients | |
| Level Eleven Saginaw, LLC | Current | Accepting new patients | |
| Guiding Light OT, LLC | Occupational Therapist | Current | Accepting new patients |
| Level 11 Physical Therapy | Current | Accepting new patients | |
| Level Eleven Howell, LLC | Current | Accepting new patients | |
| RWW Outpatient Rehab Services, LLC | Occupational Therapist | Current | Accepting new patients |
| Level Eleven Howell | Current | Accepting new patients | |
| RWW Outpatient Rehab Services, LLC | Current | Accepting new patients |
Locations
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
10483 Dixie Hwy
Holly, MI 48442
Phone (810) 498-2301
1030 W Highland Rd
Howell, MI 48843
Phone (517) 546-9000
5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538
13331 15 Mile Rd
Sterling Heights, MI 48312
Phone (586) 788-0702
3420 West Rd
Trenton, MI 48183
Phone (734) 215-9569
Organizations & group practices 8
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.
-
- Rehabilitation Clinic/Center
- Holly, MI
- NPI 1730317785
-
- Rehabilitation Clinic/Center
- Howell, MI
- NPI 1174998801
-
- Physical Therapy Clinic/Center
- Saginaw, MI
- NPI 1720320583
-
- Physical Therapist
- Sterling Heights, MI
- NPI 1457990061
-
- Occupational Therapist
- Warren, MI
- NPI 1952166019
-
- Clinic/Center
- Howell, MI
- NPI 1376321174
-
- Rehabilitation Clinic/Center
- Saginaw, MI
- NPI 1164201679
-
- Physical Therapist
- Trenton, MI
- NPI 1851947105
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1235746249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10483 DIXIE HWY",
"city": "HOLLY",
"state": "MI",
"postal_code": "484429311",
"telephone_number": "810-771-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10483 DIXIE HWY",
"city": "HOLLY",
"state": "MI",
"postal_code": "484429311",
"telephone_number": "810-771-7686"
}
],
"practiceLocations": [
{
"address_1": "1190 W. Missouri Ave",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85014",
"country_code": "US",
"telephone_number": "602-393-0520",
"fax_number": "602-393-0523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDESS",
"first_name": "KAITLYN",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008184",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201013699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.