Katlyn Elizabeth Ribant, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201011421 Issued in MI

Practice address

2708 Meyer Ave SW
Wyoming, MI 49519-2333

Phone

(616) 855-0936

NPI assigned

Oct 2, 2018

Reactivated

Oct 18, 2021

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Katlyn Elizabeth Ribant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1912482316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SUNSET HILLS AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495345842",
            "telephone_number": "616-745-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 MEYER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192333",
            "telephone_number": "616-855-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBANT",
        "first_name": "KATLYN",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "deactivation_date": "2021-10-04",
        "reactivation_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008302",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "RIBANT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Molly Richards
• Kelly Richardson, MD05/

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.