Individual provider Active NPI

Kathleen Fordney

  • Occupational Therapist
  • Frankenmuth, MI
National Provider Identifier
1588840284
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005785 Issued in MI
Practice address
12 Kingsley CT
Frankenmuth, MI 48734-1270
Phone
(989) 793-2856
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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 5201005785 MI Primary

Addresses

Primary practice location

12 Kingsley CT
Frankenmuth, MI 48734-1270

Mailing address

955 Poplar Dr
Saginaw, MI 48609-4825
Phone (989) 781-5463

Other names 1

  • Kathleen Fordney Former name

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
5201005785MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Rehab,LLC Occupational Therapist Past Accepting new patients
Kovacek Peterson Management 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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1588840284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POPLAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486094825",
            "telephone_number": "989-781-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KINGSLEY CT",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341270",
            "telephone_number": "989-793-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDNEY",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FORDNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.