Active NPI
Kayla Beth Roggenbuck, OTRL, CTRS
- Occupational Therapist
- Clinton Township, MI
National Provider Identifier
1346665072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- L144678
- Practice address
- 34025 Harper Ave
Clinton Township, MI 48035-3737 - Phone
- (586) 445-9900
- NPI assigned
- Mar 5, 2014
- 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 | L144678 | MI | Primary |
Addresses
Primary practice location
34025 Harper Ave
Clinton Township, MI 48035-3737
Mailing address
201 N Squirrel Rd
Apt 912
Auburn Hills, MI 48326-4015
Phone (810) 837-0775
Other names 1
- Miss Kayla Beth McGuire
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 |
|---|---|---|---|
| L144678 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1346665072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N SQUIRREL RD",
"address_2": "APT 912",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483264015",
"telephone_number": "810-837-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34025 HARPER AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353737",
"telephone_number": "586-445-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGGENBUCK",
"first_name": "KAYLA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "OTRL, CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "L144678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "MCGUIRE",
"middle_name": "BETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.