Individual provider Active NPI

Katie Marie Krauseneck, MS, OTR/L

  • Occupational Therapist
  • Sterling Heights, MI
National Provider Identifier
1487958203
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008193 Issued in MI
Practice address
13335 15 Mile Rd Ste 244
Sterling Heights, MI 48312-4210
Phone
(586) 879-7049
NPI assigned
Jan 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 5201008193 MI Primary

Addresses

Primary practice location

13335 15 Mile Rd Ste 244
Sterling Heights, MI 48312-4210

Mailing address

13335 15 Mile Rd Ste 244
Sterling Heights, MI 48312-4210
Phone (586) 879-7049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527000694 MI Practitioner - Occupational Therapist in Private Practice 2264902626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

28762 Sunray CT
Chesterfield, MI 48047-4799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5201008193MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Heroes, LLC Occupational Therapist 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": "1294531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1487958203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 15 MILE RD STE 244",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124210",
            "telephone_number": "586-879-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 15 MILE RD STE 244",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124210",
            "telephone_number": "586-879-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSENECK",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-09",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.