Individual provider Active NPI

Beverly Krall, OTR/L

  • Occupational Therapist
  • Saint Clair Shores, MI
National Provider Identifier
1538769286
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010857 Issued in MI
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

Updated by the provider on May 21, 2025

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 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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20250623002058 MI Practitioner - Occupational Therapist in Private Practice 1850803206 Reassigns benefits to 1 organization

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
Back to You Rehab PLLCGroup PAC ID 2365789203, 14 clinicians

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

LicenseStateTypeSpecialty
5201010857MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to You Rehab PLLC Occupational Therapist CurrentSince May 19, 2025 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.

Verify at the official NPI Registry.