Active NPI
Kelly Annette Haller, O.T.R.
- Occupational Therapist
- Saginaw, MI
National Provider Identifier
1336250463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201001932
- Practice address
- 1500 Weiss St
Saginaw, MI 48602-5251 - Phone
- (989) 497-2500
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001932 | MI | Primary |
Addresses
Primary practice location
1500 Weiss St
Saginaw, MI 48602-5251
Mailing address
256 Lockwood St
Saginaw, MI 48602-3026
Phone (989) 799-9196
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201001932 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336250463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 LOCKWOOD ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023026",
"telephone_number": "989-799-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WEISS ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025251",
"telephone_number": "989-497-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "KELLY",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201001932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.