Individual provider Active NPI

Lynn M Kaiser, OT

  • Occupational Therapist
  • Riverview, MI
National Provider Identifier
1760412878
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
14700 King Rd Ste B
Riverview, MI 48193-7909
Phone
(734) 288-0235
Fax
(734) 288-0236
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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 MI Primary

Addresses

Primary practice location

14700 King Rd Ste B
Riverview, MI 48193-7909

Mailing address

14700 King Rd Ste B
Riverview, MI 48193-7909
Phone (734) 288-0235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000264 MI Practitioner - Occupational Therapist in Private Practice 5395755276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Physical and Occupational Therapy LLCGroup PAC ID 8325451164, 8 clinicians

Practice addresses (Care Compare)

14700 King Rd
Suite B
Riverview, MI 48193-7909
Phone (734) 288-0235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Physical and Occupational Therapy LLC Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

3132 Newport Rd
Newport, MI 48166
Phone (734) 586-9120

14700 King Rd
Ste B
Riverview, MI 48193
Phone (734) 288-0235

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1760412878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 KING RD STE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "734-288-0235",
            "fax_number": "734-288-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 KING RD STE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "734-288-0235",
            "fax_number": "734-288-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.