Organization Active NPI

Roots and Wings Therapies

  • Pediatric Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1679168256
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
ROOTS AND WINGS THERAPIES
Practice address
3901 Emerald Dr Ste D
Kalamazoo, MI 49001-7923
Phone
(269) 443-2342
Fax
(269) 743-2420
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Kristen Elizabeth Ruggles, MS, OTR/L
Title
OT, Owner
Phone
(269) 443-2342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

3901 Emerald Dr Ste D
Kalamazoo, MI 49001-7923

Mailing address

3901 Emerald Dr Ste D
Kalamazoo, MI 49001-7923
Phone (269) 443-2342

National Provider Directory

National Provider Directory

Locations

3901 Emerald Dr
Ste D
Kalamazoo, MI 49001
Phone (269) 443-2342

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1679168256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 EMERALD DR STE D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490017923",
            "telephone_number": "269-443-2342",
            "fax_number": "269-743-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 EMERALD DR STE D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490017923",
            "telephone_number": "269-443-2342",
            "fax_number": "269-743-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AND WINGS THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "RUGGLES",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OT, OWNER",
        "authorized_official_telephone_number": "269-443-2342",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "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 Mar 4, 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.

Verify at the official NPI Registry.