Active NPI
Kia Glass, OTR
- Occupational Therapist
- Lathrup Village, MI
National Provider Identifier
1710198916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201004151
- Practice address
- 18930 Rainbow CT
Lathrup Village, MI 48076-4404 - Phone
- (248) 200-8001
- NPI assigned
- May 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201004151 | MI | Primary |
Addresses
Primary practice location
18930 Rainbow CT
Lathrup Village, MI 48076-4404
Mailing address
18930 Rainbow CT
Lathrup Village, MI 48076-4404
Phone (248) 200-8001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201004151 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710198916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18930 RAINBOW CT",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480764404",
"telephone_number": "248-200-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18930 RAINBOW CT",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480764404",
"telephone_number": "248-200-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "KIA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201004151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lathrup Village, MI
- Louis Jeremy Geller, D.P.M.
- Gentle Touch Dentistry P.C.
- James Thomas Gilas, M. D.
- Gilbert Neurological Assoc PLLC (American Institute of Neurological Disorders)
- Neil Gilbert, M.D.
- Global Care Medical Supply, LLC
- Tiffany Goshatt
- Groesbeck RX LLC
- Guardian Home Health Care, PLLC
- Michael Haddow, D.D.S.,M.S.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.