Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coralea Carroll Pitkin, MSOT, OTRL

Individual provider Occupational Therapist · NPI 1750055646

Coralea Carroll Pitkin, MSOT, OTRL is an Occupational Therapist in Private Practice in East Lansing, Michigan. Qualified in 2020, 6 years ago. Practices with Fox Rehabilitation Services Mi LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

16260 Park Lake Rd
East Lansing, MI 48823-9480
Phone: (517) 339-2322
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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 5201011235 (MI)

Record details

NPI number1750055646
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT , OTRL
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fox Rehabilitation Services Mi Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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