Active NPI
Kyle Collins, OTR/L
- Occupational Therapist
- Muskegon, MI
National Provider Identifier
1649933995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009547
- Practice address
- 1400 Mercy Dr
Muskegon, MI 49444-1819 - Phone
- (231) 672-6940
- NPI assigned
- Oct 14, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 5201009547 | MI | Primary |
Addresses
Primary practice location
1400 Mercy Dr
Muskegon, MI 49444-1819
Mailing address
1400 Mercy Dr
Muskegon, MI 49444-1819
Other practice location 1
5656 W US Highway 10
Ludington, MI 49431-2454
Phone (231) 843-2543
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1649933995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MERCY DR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCY DR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441819",
"telephone_number": "231-672-6940"
}
],
"practiceLocations": [
{
"address_1": "5656 W US Highway 10",
"address_purpose": "LOCATION",
"city": "Ludington",
"state": "MI",
"postal_code": "494312454",
"country_code": "US",
"telephone_number": "231-843-2543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "KYLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.