ALEXIS ROSE KWASNIEWICZ (MS, OTR/L) – Occupational Therapist, NPI 1760157978

ALEXIS ROSE KWASNIEWICZ (MS, OTR/L) is a healthcare provider. based in Walled lake, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, OTR/L. They hold a License No. 5201011363 (MI). The NPI Number for ALEXIS ROSE KWASNIEWICZ (MS, OTR/L) is 1760157978

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS ROSE KWASNIEWICZ (MS, OTR/L)
NPI
1760157978
Phone
(248) 421-8896
Address
227 OSPREY ST
Enumeration Date
10 August 2021
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
WESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Secondary Phone
8479864633
Graduation Year
2020 (6 years ago)
PAC ID
9537565676
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20250110000119
Address ID
IL600302290GR1865XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for ALEXIS ROSE KWASNIEWICZ (MS, OTR/L)

  • 227 OSPREY ST

    WALLED LAKE, MI 483903342

    Phone: (248) 421-8896

    Type: Mailing

  • 44600 5 MILE RD

    NORTHVILLE, MI 481689602

    Phone: (248) 697-2900

    Type: Location

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: 2025-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210915000521IOccupational Therapist In Private PracticeMITBD
I20250110000119IOccupational Therapist In Private PracticeILTBD

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 48390)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

What is the standard ID for ALEXIS ROSE KWASNIEWICZ (MS, OTR/L) in the U.S.?
In the U.S., ALEXIS ROSE KWASNIEWICZ (MS, OTR/L) is identified by NPI 1760157978.
Does the public listing show ALEXIS ROSE KWASNIEWICZ (MS, OTR/L) as active?
ALEXIS ROSE KWASNIEWICZ (MS, OTR/L)'s NPI record reflects an active status in NPPES.
What services align with ALEXIS ROSE KWASNIEWICZ (MS, OTR/L)'s listing?
ALEXIS ROSE KWASNIEWICZ (MS, OTR/L)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to ALEXIS ROSE KWASNIEWICZ (MS, OTR/L)?
The directory associates ALEXIS ROSE KWASNIEWICZ (MS, OTR/L) with Walled Lake, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for ALEXIS ROSE KWASNIEWICZ (MS, OTR/L)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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