Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carissa Mae Thelen, OTRL

Individual provider Occupational Therapist · NPI 1689258139

Carissa Mae Thelen, OTRL is an Occupational Therapist in Private Practice in Traverse City, Michigan. Qualified in 2023, 3 years ago. Practices with Hand Surgery of Northern Michigan PLC, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

701 W Frnt ST
Traverse City, MI 49684-2287
Phone: (231) 935-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201013761 (MI)

Record details

NPI number1689258139
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESAugust 29, 2024
Certification dateAugust 28, 2024
Mailing address10670 E Pico Dr, Traverse City, MI 49684-5382

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hand Surgery Of Northern Michigan Plc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City