Katie Marie Mittelstaedt, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202006974 Issued in MI

Practice address

15500 19 Mile Rd Ste 330
Clinton TWP, MI 48038

Phone

(586) 412-0016

NPI assigned

Mar 7, 2011

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

Electronic endpoints 1

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.

• The Recovery Project, LLC

  • Physical Therapist
  • Livonia, MI
  • NPI 1528137858
  NPD
• Developing Connections Inc.

  • Speech-Language Pathologist
  • Shelby TWP, MI
  • NPI 1790123305
  NPD (past)
• Developing Connections, Inc.

  • Multi-Specialty Clinic/Center
  • Shelby Township, MI
  • NPI 1023236122
  NPD (past)

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1275831836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-743-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 19 MILE RD STE 330",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-412-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14145 Simone Dr",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483153228",
            "country_code": "US",
            "telephone_number": "586-566-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTELSTAEDT",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202006974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@therecoveryproject.net",
            "affiliation": "N",
            "address_1": "15500 19 Mile Rd Ste 330",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480386313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Ann Milosavlevski, OD
• Melissa Velez Miracle
• Leia Xiao Misiolek, PHARMD
• Samantha Kaitlyn Misovska
• Spencer Mister, LMSW
• Loren Mitten
• Crystal Ann Mitter, LLPC
• MJ Bloomingcare LLC
• Cross Francis Moceri, DPM
• Nidhi Modi, PT, DPT

• Occupational Therapy Assistant in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.