Individual provider Active NPI

Kasey Diana Zmijewski, OTRL

  • Pediatric Occupational Therapist
  • Farmington Hills, MI
National Provider Identifier
1336912765
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201013650 Issued in MI
Practice address
27655 Middlebelt Rd Ste 130
Farmington Hills, MI 48334-5029
Phone
(248) 939-4030
Fax
(248) 939-4239
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 5201013650 MI Primary

Addresses

Primary practice location

27655 Middlebelt Rd Ste 130
Farmington Hills, MI 48334-5029

Mailing address

1614 Meadow Woods Blvd
Ypsilanti, MI 48197-4500
Phone (248) 461-2543

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1336912765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 MEADOW WOODS BLVD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974500",
            "telephone_number": "248-461-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "248-939-4030",
            "fax_number": "248-939-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMIJEWSKI",
        "first_name": "KASEY",
        "middle_name": "DIANA",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201013650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.