STEPHEN J KOSIARA (OTR) – Occupational Therapist, NPI 1801872411

STEPHEN J KOSIARA (OTR) is a healthcare provider. based in Grand rapids, Michigan. specializing in Occupational Therapist. They hold the professional credentials OTR. They hold a License No. 5201004133 (MI). The NPI Number for STEPHEN J KOSIARA (OTR) is 1801872411

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN J KOSIARA (OTR)
NPI
1801872411
Phone
(616) 459-7101
Address
1111 LEFFINGWELL AVE NE
Enumeration Date
16 December 2005
Last Update Date
4 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164597101
Graduation Year
1997 (29 years ago)
PAC ID
5698724433
Group Practice PAC ID
9537136403
Professional Enrollment ID
I20050119000196
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for STEPHEN J KOSIARA (OTR)

  • 1111, Leffingwell Avenue Northeast, Grand Rapids, Kent County, Michigan, 49525, United States

    SUITE 200

    GRAND RAPIDS, MI 495256406

    Phone: (616) 459-7101

    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: 2005-01-19

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
I20050119000196IOccupational 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 49525)

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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: 9537136403View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Orthopedic SurgeryNH
Hand SurgeryMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

Can I verify STEPHEN J KOSIARA (OTR) with an NPI only?
You can start verification with NPI 1801872411 for STEPHEN J KOSIARA (OTR), then check state licensing separately.
Can I rely on STEPHEN J KOSIARA (OTR) being an active provider?
As of the registry snapshot, STEPHEN J KOSIARA (OTR) is marked active.
What is STEPHEN J KOSIARA (OTR)'s primary classification?
Occupational Therapist is the headline specialty for STEPHEN J KOSIARA (OTR) here. Clinical services aligned with this taxonomy classification.
Where is STEPHEN J KOSIARA (OTR) based?
STEPHEN J KOSIARA (OTR) is tied to Grand Rapids, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about STEPHEN J KOSIARA (OTR) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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