Talia Rose Rebottaro, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201014249 Issued in MI

Practice address

42804 Garfield Rd
Clinton Township, MI 48038-1656

Phone

(586) 323-2957

NPI assigned

Jun 18, 2025

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Wayne State University School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Crawl Walk Jump Run Therapy Clinic LLCGroup PAC ID 5294747002, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Crawl Walk Jump Run Therapy Clinic LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1730363573

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Crawl Walk Jump Run Therapy Clinic

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
  • NPI 1720488620
  NPD (past)

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1972490456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42804 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381656",
            "telephone_number": "586-329-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42804 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381656",
            "telephone_number": "586-323-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOTTARO",
        "first_name": "TALIA",
        "middle_name": "ROSE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Hayden Ray, M.D.
• Lina Rayes Yousif, D.O.
• Natalie Rose Rea-Michalak, LLP, LLMSW
• Sharquisha Reardon, BEHAVIOR TECHNICIAN
• Sydney Marie Rebant
• Prabhaker Nallu Reddy, M.D.
• Caroline Mae Redman
• Reemmer Chiropractic P.C.
• Dennis Reemmer, DC
• Tracy Reetz

• Occupational Therapist in Clinton Township, MI
• Providers in Clinton Township, 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 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.