Individual provider Active NPI

Kaitlyn Kolk, OTR/L

  • Occupational Therapist
  • Wayland, MI
National Provider Identifier
1609756584
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014371 Issued in MI
Practice address
145 S Main St Ste 4
Wayland, MI 49348-1702
Phone
(269) 792-2353
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 5201014371 MI Primary

Addresses

Primary practice location

145 S Main St Ste 4
Wayland, MI 49348-1702

Mailing address

145 S Main St Ste 4
Wayland, MI 49348-1702
Phone (269) 792-2353

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
5201014371MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Systems Clinic West, PLC Occupational Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

145 S Main St
Ste 4
Wayland, MI 49348
Phone (269) 792-2353

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1609756584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S MAIN ST STE 4",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481702",
            "telephone_number": "269-792-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MAIN ST STE 4",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481702",
            "telephone_number": "269-792-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLK",
        "first_name": "KAITLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.