NPIMap

Organization Active NPI

Kalamazoo Area Rehabilitation Services PC

  • Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1932294105
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
KALAMAZOO AREA REHABILITATION SERVICES PC
Practice address
6376 Quail Run
Kalamazoo, MI 49009-2811
Phone
(269) 544-3764
Fax
(269) 544-3767
NPI assigned
Oct 4, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Mrs. Diane Andert, OTNPI 1982818464
Title
Director
Phone
(269) 544-3764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

6376 Quail Run
Kalamazoo, MI 49009-2811

Mailing address

6376 Quail Run
Kalamazoo, MI 49009-2811
Phone (269) 544-3764

Other identifiers 2

IdentifierTypeStateIssuer
64-30122OtherMIIBA/PHP ID#
670C911590OtherMIBLUE CROSS SUPPLEMENTAL #

National Provider Directory

National Provider Directory

Locations

3030 S 9th St
Ste 1A
Kalamazoo, MI 49009
Phone (269) 544-3764

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1932294105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 QUAIL RUN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092811",
            "telephone_number": "269-544-3764",
            "fax_number": "269-544-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 QUAIL RUN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092811",
            "telephone_number": "269-544-3764",
            "fax_number": "269-544-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO AREA REHABILITATION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "ANDERT",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-544-3764",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA/PHP ID#",
            "identifier": "64-30122",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SUPPLEMENTAL #",
            "identifier": "670C911590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.