KYLE MEDEARIS (MS OTRL) – Occupational Therapist, NPI 1780081075

KYLE MEDEARIS (MS OTRL) is a healthcare provider. based in Traverse city, Michigan. specializing in Occupational Therapist. They hold the professional credentials MS OTRL. They hold a License No. 5201008742 (MI). The NPI Number for KYLE MEDEARIS (MS OTRL) is 1780081075

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KYLE MEDEARIS (MS OTRL)
NPI
1780081075
Phone
Not provided
Address
415 MUNSON AVE STE 101
Enumeration Date
2 December 2014
Last Update Date
18 April 2018

Doctor Profile

Medical School Name
SAGINAW VALLEY MEDICAL COLLEGE - NLG
Secondary Phone
2314866330
Graduation Year
2013 (13 years ago)
PAC ID
9234451691
Group Practice PAC ID
4880829738
Professional Enrollment ID
I20141215000905
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for KYLE MEDEARIS (MS OTRL)

  • 415 MUNSON AVE STE 101

    TRAVERSE CITY, MI 496863059

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24113$0
97530Therapy procedure using functional activities9712$0
View full utilization report →

Insurance plans in this area (ZIP 49686)

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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: 4880829738View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
-MI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do I look up KYLE MEDEARIS (MS OTRL) by NPI?
Use NPI 1780081075 when you need to reference KYLE MEDEARIS (MS OTRL) in forms, claims, or directories.
Is KYLE MEDEARIS (MS OTRL) active in the national directory?
KYLE MEDEARIS (MS OTRL)'s public NPI profile is in an active state.
What kind of provider is KYLE MEDEARIS (MS OTRL)?
The page reflects Occupational Therapist for KYLE MEDEARIS (MS OTRL). Clinical services aligned with this taxonomy classification.
Does KYLE MEDEARIS (MS OTRL) practice in Michigan?
You will see Traverse City, Michigan on file for KYLE MEDEARIS (MS OTRL) alongside any extra practice locations.
What if Traverse City, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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