Individual provider Active NPI

Abigail Elaine Kerkau

  • Occupational Therapist
  • Midland, MI
National Provider Identifier
1316681752
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014205 Issued in MI
Practice address
2121 Rockwell Dr
Midland, MI 48642-9316
Phone
(989) 633-5350
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201014205 MI Primary

Addresses

Primary practice location

2121 Rockwell Dr
Midland, MI 48642-9316

Mailing address

5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450
Phone (989) 401-2244

Other practice location 1

6296 Village Square Drive
Suite 2
Bridgeport, MI 48722
Phone (989) 401-1239

Other practice location 2

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201014205MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1316681752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 VILLA LINDE PKWY STE 30",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323450",
            "telephone_number": "989-401-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ROCKWELL DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486429316",
            "telephone_number": "989-633-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6296 Village Square Drive",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "MI",
            "postal_code": "48722",
            "country_code": "US",
            "telephone_number": "989-401-1239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086831",
            "country_code": "US",
            "telephone_number": "989-894-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERKAU",
        "first_name": "ABIGAIL",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.