Emily Wirtz, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201011016 Issued in MI

Practice address

347 Creekside Dr
Petoskey, MI 49770-8676

Phone

(231) 487-0080

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kind Rehabilitation LLCGroup PAC ID 9739421967, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kind Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Superior, CO
  • NPI 1477016350
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1659953552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9293 CHERRY AVE",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496769669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 CREEKSIDE DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708676",
            "telephone_number": "231-487-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTZ",
        "first_name": "EMILY",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Thomas Wilson, MSW, ACSW
• Vincent Jan Winklerprins, M.D.
• Winnell Wellness Consulting
• Catherine Winnell-Braendle, R.N.
• Katherine Elaine Winslow, LAC, RAC, DIPL. O.M.
• Michael John Witten, RPH
• Brian D Wittenberg, M.D.
• Rebecca Woltman, NP-C
• Women'S Resource Center of Northern Michigan
• Adam Jens Wong, AU.D. CCC-A

• Occupational Therapist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.