Michaelene Ann Kulig
Individual provider Active NPI Occupational Therapist · Dallas, PA
NPI 1295528669 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1295528669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 64 Ridgway Dr Ste 1
Dallas, PA 18612-9263 - Phone
- (570) 255-4578
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cip Rehabilitation Inc
Practice addresses (Care Compare)
64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250606001158 | PA | Practitioner - Occupational Therapist in Private Practice | 0941710271 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cip Rehabilitation Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
64 Ridgway Dr Ste 1
Dallas, PA 18612-9263
Mailing address
444 Dellert Dr
South Abington Township, PA 18411-8881
Phone (570) 687-7896
Other providers in Dallas, PA
- Virginia Eileen Koenig
- Michael A. Kovalick
- Joseph John Kowalski
- Ida Marie Kravitz
- Melissa Kukosky
- Kara Kuncio
- Kunkle Fire Company Inc
- Kunkle Fire Company, Inc
- Lakeside Rehabilitation & Nursing, LLC
- Roger F Landry
All providers in Dallas, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.