Individual provider Active NPI

Olivia Kukla, OTR/L

  • Occupational Therapist
  • Battle Creek, MI
National Provider Identifier
1386423713
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013641 Issued in MI
Practice address
75 Minges Creek PL
Battle Creek, MI 49015-4201
Phone
(269) 979-6365
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 5201013641 MI Primary

Addresses

Primary practice location

75 Minges Creek PL
Battle Creek, MI 49015-4201

Mailing address

1506 S Chilson St
Bay City, MI 48706-5213
Phone (989) 891-7459

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
5201013641MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. PastSince Oct 1, 2023 Accepting new patients
Physiotherapy Associates Inc PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1386423713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S CHILSON ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487065213",
            "telephone_number": "989-891-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MINGES CREEK PL",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154201",
            "telephone_number": "269-979-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLA",
        "first_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.