Keva Marie Wood, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201011127 Issued in MI

Practice address

1101 S Scott Rd
Saint Johns, MI 48879-8044

Phone

(989) 224-8936

NPI assigned

Jan 18, 2022

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

Other names 1

• Keva Marie Feldpausch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1922759273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SECRETARIAT LN",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488798034",
            "telephone_number": "989-640-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S SCOTT RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488798044",
            "telephone_number": "989-224-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KEVA",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVA",
            "last_name": "FELDPAUSCH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea L Williams, R.D.
• Amy Jo Wilson, LPN
• Shannon Lyn Wirth, RPH
• Tracy Marie Wirth, F.N.P.
• Katie Jo Wohlfert
• Janet Lynn Woodcock, MSW LMSW ACSW
• Katie Marie Worrall
• Youa Yang

• Occupational Therapist in Saint Johns, MI
• Providers in Saint Johns, 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 18, 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.