KATRINA MARIA DECANINI (OTR/L, LSVT) – Occupational Therapist, NPI 1124888649

KATRINA MARIA DECANINI (OTR/L, LSVT) is a healthcare provider. based in Roseville, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L, LSVT. The NPI Number for KATRINA MARIA DECANINI (OTR/L, LSVT) is 1124888649

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATRINA MARIA DECANINI (OTR/L, LSVT)
NPI
1124888649
Phone
Not provided
Address
18245 E 10 MILE RD STE 130
Enumeration Date
21 March 2024
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7345220065
Graduation Year
2023 (3 years ago)
PAC ID
2668814880
Group Practice PAC ID
3870488521
Professional Enrollment ID
I20240520002824
Address ID
MI481352318GA29460RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:2State licenses:0Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KATRINA MARIA DECANINI (OTR/L, LSVT)

  • 18245 E 10 MILE RD STE 130

    ROSEVILLE, MI 480665807

    Phone:

    Mailing address matches the actual address.

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: 2024-05-20

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
I20240520002824IOccupational 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 48066)

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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: 3870488521View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

Is KATRINA MARIA DECANINI (OTR/L, LSVT) listed with a National Provider Identifier?
Yes — KATRINA MARIA DECANINI (OTR/L, LSVT) has NPI 1124888649 on file in the registry.
Is KATRINA MARIA DECANINI (OTR/L, LSVT) shown as active in public data?
Registry records indicate KATRINA MARIA DECANINI (OTR/L, LSVT) maintains an active NPI.
What expertise is attributed to KATRINA MARIA DECANINI (OTR/L, LSVT)?
KATRINA MARIA DECANINI (OTR/L, LSVT)'s specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KATRINA MARIA DECANINI (OTR/L, LSVT)?
Directory geography for KATRINA MARIA DECANINI (OTR/L, LSVT) centers on Roseville, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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