Emma Rose Hostetler, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201010669 Issued in MI

Practice address

5258 Plainfield Ave NE Ste a
Grand Rapids, MI 49525-1092

Phone

(616) 466-4068

NPI assigned

Feb 5, 2020

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 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Mitten State Pediatric Therapy LLC

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1063021715
  Medicare reassignment NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1265064547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 PLAINFIELD AVE NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251092",
            "telephone_number": "616-466-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 PLAINFIELD AVE NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251092",
            "telephone_number": "616-466-4068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 S Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "MI",
            "postal_code": "493481702",
            "country_code": "US",
            "telephone_number": "269-792-2353",
            "fax_number": "616-281-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSTETLER",
        "first_name": "EMMA",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201010669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5201010669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie Hoskins, RRT
• Hospitalists of West Michigan PC
• Allyse Ann Host, MS, LPC
• Jared Host
• William S Host
• Janet Hostetler, C.N.P.
• Vern Hostetler, CPO
• Joseph Spencer Hostnik, MD
• Kara A Hotaling, AUD, CCC-A
• Charnel Marietje Houben, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.