Individual provider Active NPI

Karen Sue Galloway, OTR

  • Pediatric Occupational Therapist
  • Portage, MI
National Provider Identifier
1386687861
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
AA438994 Issued in MI
Practice address
5124 S Sprinkle Rd
Portage, MI 49002-2055
Phone
(269) 381-1880
Fax
(269) 381-1850
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X AA438994 MI Primary

Addresses

Primary practice location

5124 S Sprinkle Rd
Portage, MI 49002-2055

Mailing address

5124 S Sprinkle Rd
Portage, MI 49002-2055
Phone (269) 381-1880

Other identifiers 1

IdentifierTypeStateIssuer
4719045MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
AA438994MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Kids, LLC Pediatrics Past Accepting new patients
Kalamazoo Area Rehabilitation Services PC Past 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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386687861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 S SPRINKLE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490022055",
            "telephone_number": "269-381-1880",
            "fax_number": "269-381-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 S SPRINKLE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490022055",
            "telephone_number": "269-381-1880",
            "fax_number": "269-381-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "AA438994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4719045",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.