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

Individual provider Occupational Therapist · NPI 1811074255

Kristie L Moonan, OTR is an Occupational Therapist in Private Practice in Saint Clair Shores, Michigan. Qualified in 1990, 36 years ago. Practices with Michigan Orthopaedic Surgeons PLLC, a 126-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
36
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

23161 Greater Mack Ave
Saint Clair Shores, MI 48080-1956
Phone: (586) 779-8892
Fax: (586) 779-2869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26025 Lahser Rd, Southfield, MI 48033-2606 — (248) 663-1910

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1811074255
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Michigan Orthopaedic Surgeons Pllc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Clair Shores