Active NPI
Beverly Krall, OTR/L
- Occupational Therapist
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010857
- Practice address
- 22701 Harper Ave
Saint Clair Shores, MI 48080-2943 - Phone
- (248) 733-4325
- Fax
- (248) 268-7979
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201010857 | MI | Primary |
Addresses
Primary practice location
22701 Harper Ave
Saint Clair Shores, MI 48080-2943
Mailing address
5013 Gardner St E
Sterling Heights, MI 48310-2708
Phone (586) 344-0454
Other practice location 1
6530 Farmington Rd
West Bloomfield, MI 48322-3216
Phone (248) 661-8240
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkrall1@hfhs.org | ||
| Direct Messaging Address | bkrall612821@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22701 Harper Ave
Saint Clair Shores, MI 48080-2943
Phone (248) 733-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201010857 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to You Rehab PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
21316 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (248) 733-4325
2512 Rochester Rd
Royal Oak, MI 48073
Phone (248) 733-4325
22701 Harper Ave
Saint Clair Shores, MI 48080
Phone 2487334325 ext. 2
Organizations & group practices 1
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": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1538769286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 GARDNER ST E",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483102708",
"telephone_number": "586-344-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22701 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802943",
"telephone_number": "248-733-4325",
"fax_number": "248-268-7979"
}
],
"practiceLocations": [
{
"address_1": "6530 Farmington Rd",
"address_purpose": "LOCATION",
"city": "West Bloomfield",
"state": "MI",
"postal_code": "483223216",
"country_code": "US",
"telephone_number": "248-661-8240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRALL",
"first_name": "BEVERLY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010857",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkrall1@hfhs.org",
"affiliation": "N",
"address_1": "6530 Farmington Rd",
"city": "West Bloomfield",
"state": "MI",
"country_code": "US",
"postal_code": "483223216",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkrall612821@direct.hfhs.org",
"affiliation": "N",
"address_1": "6530 Farmington Rd",
"city": "West Bloomfield",
"state": "MI",
"country_code": "US",
"postal_code": "483223216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.