Individual provider Active NPI

Kristen Lutsch, OTRL

  • Occupational Therapist
  • Rochester, MI
National Provider Identifier
1780108803
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009919 Issued in MI
Practice address
4330 Orion Rd
Rochester, MI 48306-1655
Phone
(317) 828-5930
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 5201009919 MI Primary

Addresses

Primary practice location

4330 Orion Rd
Rochester, MI 48306-1655

Mailing address

4330 Orion Rd
Rochester, MI 48306-1655
Phone (317) 828-5930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004002112 MI Practitioner - Occupational Therapist in Private Practice 4587939384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201009919MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Center of Movement & Cognition, LLC Occupational Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

5000 Hosner Rd
Oxford, MI 48370
Phone (317) 828-5930

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1780108803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 ORION RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061655",
            "telephone_number": "317-828-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 ORION RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061655",
            "telephone_number": "317-828-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTSCH",
        "first_name": "KRISTEN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.