Amanda Klebba

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3003 W Grand River Ave
Howell, MI 48843-8539

Phone

(517) 546-4210

NPI assigned

Mar 15, 2015

Sex

Female

Sole proprietor

No

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 MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tmi East, Inc.

  dba Everactive Therapy

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1821481821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438539",
            "telephone_number": "517-546-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBBA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Jean Kimball, RN
• Darlene Kissell Kimmel, LPC,CSOTS
• Kind Wellness Group LLC
• Brittany Ann King
• Clisty Shannon Kinlin, RD, CDE
• Caitlyn Klein
• Carlie Kline
• Sarah Klug, OTRL
• Danielle Autumn Knapp, PT, DPT
• Kathleen Rose Knapp, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.