Tricia Kowalski, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009205 Issued in MI

Practice address

555 N Bradley Hwy
Rogers City, MI 49779

Phone

(989) 734-2151

NPI assigned

Nov 9, 2015

Last updated

Jul 10, 2018By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1295108579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16174 RENWICK CIR W",
            "city": "PRESQUE ISLE",
            "state": "MI",
            "postal_code": "497778500",
            "telephone_number": "989-766-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "49779",
            "telephone_number": "989-734-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "TRICIA",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystopher Mikael Blaze Hogg, PHARMD
• Roberta Hyder
• James M Curtis
• Justin Arthur Kelley, PTA
• Angela Judith Kelly, LMT
• Robert Bruce Kromer, PT
• Arika L Kunath, P.T.
• Dana J La Bar, LPC
• Lakeside Language LLC
• Nikkie J Lalonde-Viegelahn, OD

• Occupational Therapist in Rogers City, MI
• Providers in Rogers City, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.