Kaitlyn Wynne

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202008754 Issued in MI

Practice address

30330 Hickey Rd
Chesterfield, MI 48051-3911

Phone

(586) 421-4062

NPI assigned

Oct 4, 2021

Last updated

Oct 4, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Center for Therapeutic Learning and Communication, PLLC

  dba Center for TLC

  • Rehabilitation Clinic/Center
  • Chesterfield, MI
  • NPI 1699966341

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1952073496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44513 BAYVIEW AVE APT 9114",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386263",
            "telephone_number": "586-552-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30330 HICKEY RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480513911",
            "telephone_number": "586-421-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Wright
• Porsche Wright
• Shannon Wright
• Winter Wright
• Doris Jean Wroblewski
• Aubrey Yager
• Chadmika Yahampath, MD
• Vivian Yalda
• Jessica Yancey
• Jessica Ann Yank, RDH

• Occupational Therapy Assistant in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.