Charles Harry Klimushyn, OT
Occupational Therapist in Detroit, MI. Individual provider (NPI-1).
NPI number1669928081
StatusActive
Last updated in NPPESAug 26, 2016
Details
- NPI
- 1669928081
- Entity type
- Individual (NPI-1)
- Name
- Charles Harry Klimushyn
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2016
- Last updated
- Aug 26, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201002874 | MI | Yes |
Practice location
8131 E Jefferson AveDetroit, MI 48214-2610
Phone 586-791-9203 · Fax 586-693-7365
Mailing address
8131 E Jefferson AveDetroit, MI 48214-2610
Phone 586-791-9203 · Fax 586-693-7365
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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