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

Kelly Ann Wiese

Individual provider Gerontology Occupational Therapist · NPI 1053929638

Kelly Ann Wiese is an Occupational Therapist in Private Practice in Sterling Heights, Michigan. Qualified in 2023, 3 years ago. Practices with The Weston Group Inc, a 223-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2020

Practice location Address checks out

41155 Pond View Dr
Sterling Heights, MI 48314-3891
Phone: (586) 571-9626
Show map & directions

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

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X

Record details

NPI number1053929638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESOctober 6, 2024
Certification dateOctober 6, 2024

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 The Weston Group Inc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount