Kristen Marie Churches, OTR

Primary specialty

ContractorTaxonomy code 171W00000X

License

5201004833 Issued in MI

Practice address

11060 Hi Tech Dr
Whitmore Lake, MI 48189-9133

Phone

(734) 449-4649

NPI assigned

Oct 1, 2007

Sex

Female

Sole proprietor

Yes

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.

• Leaps and Bounds Therapy Services L.L.C.

  • Rehabilitation Clinic/Center
  • Brighton, MI
  • NPI 1215005913
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2007.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1508053786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 BLAINE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149646",
            "telephone_number": "810-632-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11060 HI TECH DR",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899133",
            "telephone_number": "734-449-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHES",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": "5201004833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Brink, D.D.S
• Shelley Brown, OT, CLT
• Kimberly Buday, D.O., M.P.H.
• Leland Campbell
• Mengyuan Che
• Randall Cirner
• Jessica Nicole Cunningham, RWP
• Laura Ellen Donoghue, CCC-SLP
• Barbara Ann Dunn, LPC
• Michelle Suzanne Duquet

• All providers in Whitmore Lake, MI
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.