KRYSTI MCKENZIE (OTR) – Occupational Therapist, NPI 1063061646

KRYSTI MCKENZIE (OTR) is a healthcare provider. based in Troy, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. The NPI Number for KRYSTI MCKENZIE (OTR) is 1063061646

Main info

Female
7 Years Of Experience
Name
KRYSTI MCKENZIE (OTR)
NPI
1063061646
Phone
(248) 964-4014
Address
44201 Dequindre Rd Ste 203A
Enumeration Date
6 September 2019
Last Update Date
29 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5863232457
Graduation Year
2019 (7 years ago)
PAC ID
6103255542
Group Practice PAC ID
5294747002
Professional Enrollment ID
I20200406001304
Address ID
MI480381656CL42804RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KRYSTI MCKENZIE (OTR)

  • 44201 Dequindre Rd Ste 203A

    Troy, MI 480851117

    Phone: (248) 964-4014

    Type: Location

  • 42804, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480381656

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200406001304IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48085)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294747002View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Occupational Therapist In Private PracticeNE
-MI
Qualified Speech Language PathologistMI
Occupational Therapist In Private PracticeMI
-MI
-MI
-MI
Qualified Speech Language PathologistMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KRYSTI MCKENZIE (OTR)?
KRYSTI MCKENZIE (OTR) — NPI 1063061646 — is the standard way to identify this listing.
Does the file indicate KRYSTI MCKENZIE (OTR) is practicing under active NPI?
Directory data currently reports KRYSTI MCKENZIE (OTR) as active.
What is KRYSTI MCKENZIE (OTR)'s specialty?
The listing groups KRYSTI MCKENZIE (OTR) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does KRYSTI MCKENZIE (OTR) list a practice location?
Patients near Troy, Michigan may find KRYSTI MCKENZIE (OTR) in results; validate coverage separately.
Why does KRYSTI MCKENZIE (OTR) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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