Katelyn Jonak

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013889 Issued in MI

Practice address

9751 E Grand River Ave Ste 1
Portland, MI 48875-9802

Phone

(517) 376-3650

NPI assigned

Dec 12, 2023

Last updated

Jun 17, 2025By 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

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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Occupational Therapist

  NPD
• Sparrow Ionia Hospital

  dba Sparrow Medical Group Ionia

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1033271143
  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1952179707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 RUNAWAY BAY DR APT 2C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178733",
            "telephone_number": "314-609-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE STE 1",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759802",
            "telephone_number": "517-376-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAK",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia P Hua, PHARMACIST
• Gary Peter Hutnik, D.D.S.
• Ionia County Memorial Hospital (FHC-Portland RHC)
• Jennifer Culp Chiropractic, Inc.
• Laura S Johnson, CCC-SLP
• Katelyn Anne Jury, CPHT
• KC Assisted Living Corporation
• Christina Knoop, NP
• Ryan Koolen, D.C.
• Krystal Kempf Eye Care PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.