Kirsten Trudeau, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010930 Issued in MI

Practice address

29230 Ryan Rd Ste D
Warren, MI 48092-4274

Phone

(586) 459-5680

NPI assigned

Aug 4, 2020

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Genie Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Warren, MI
  • NPI 1770141970
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1245840321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 ELMWOOD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731519",
            "telephone_number": "248-909-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29230 RYAN RD STE D",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924274",
            "telephone_number": "586-459-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "KIRSTEN",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archi Trivedi, MD
• Porfirio Trojillo, PT
• Marilee Renae Trombley, LLPC
• Jennifer Rita Trombly, OTR/L
• Tru Dental Michigan II, PLLC
• True Tender Loving Care Adult Fostering LLC
• True Tender Loving Care Adult Fostering LLC
• Elizabeth Trujillo, RBT
• Trusted Home Care LLC
• Trusted Touch Home Care LLC

• Occupational Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.