Mary Beth Kyro, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

5201001639 Issued in MI

Practice address

105 Hall St
Suite a
Traverse City, MI 49684-2288

Phone

(231) 935-4159

Fax

(231) 935-4275

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Lakes Community Mental Health AuthorityGroup PAC ID 8022921154, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Northern Lakes Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Traverse City, MI
  • NPI 1518068071
  Medicare reassignment Care Compare group NPD
• Northern Lakes Community Mental Health Authority

  dba Northern Lakes Integrated Health Clinic

  • Clinic/Center
  • Traverse City, MI
  • NPI 1417481136
  NPD

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1881932499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HALL ST",
            "address_2": "SUITE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842288",
            "telephone_number": "231-935-4159",
            "fax_number": "231-935-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HALL ST",
            "address_2": "SUITE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842288",
            "telephone_number": "231-935-4159",
            "fax_number": "231-935-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRO",
        "first_name": "MARY BETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MI",
            "license": "5201001639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KVZ Therapy
• Emma Grace Kwapis
• Becky Kwiatkowski
• Janice Sue Kwiatkowski
• Jeffrey V Kyff, D.O.
• Chelsea La Londe
• Luann K Labian, MD
• Laboratory Corporation of America
• Mary T Lacharite, MSW
• Linsay Renae Lacombe

• Mental Health Occupational Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Mental Health Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.