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

Kelly Kondratko

Individual provider Occupational Therapist · NPI 1134609142

Kelly Kondratko is an Occupational Therapist in Private Practice in Livonia, Michigan. Qualified in 2003, 23 years ago. Practices as a sole proprietor.

Years since qualifying
23
In the registry since
2018
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Practice location Address checks out

15475 Middlebelt Rd
Livonia, MI 48154-3805
Phone: (734) 743-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1134609142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2018
Last updated in NPPESAugust 19, 2018

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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