Individual provider Active NPI

Karen Irene Zantjer, OTR

  • Gerontology Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1609207695
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
5201000093 Issued in MI
Practice address
2575 N Drake
Tendercare Westwood
Kalamazoo, MI 49006
Phone
(269) 342-0206
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 5201000093 MI Primary

Addresses

Primary practice location

2575 N Drake
Tendercare Westwood
Kalamazoo, MI 49006

Mailing address

38385 28TH Ave
Gobles, MI 49055-9629
Phone (269) 628-4019

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201000093MIMDGerontology Occupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1609207695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38385 28TH AVE",
            "city": "GOBLES",
            "state": "MI",
            "postal_code": "490559629",
            "telephone_number": "269-628-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 N DRAKE",
            "address_2": "TENDERCARE WESTWOOD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49006",
            "telephone_number": "269-342-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANTJER",
        "first_name": "KAREN",
        "middle_name": "IRENE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MI",
            "license": "5201000093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.