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

Kayla Marie Tubergen, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1730607896

Kayla Marie Tubergen, OTD, OTR/L is an Occupational Therapist in Private Practice in Holly, Michigan. Graduated from University of Michigan Medical School in 2023, 3 years ago. Practices with Level 11 Physical Therapy, a 22-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10483 Dixie Hwy
Holly, MI 48442-9311
Phone: (810) 771-7686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201013715 (MI)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1730607896
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Group practice Level 11 Physical Therapy — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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