OrganizationActive
Kinetic Kids, LLC
NPI 1831457142 · Pediatric Occupational Therapist · Portage, MI
Provider details
- NPI number
- 1831457142
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Karen Galloway, Ceo(269) 381-1880
- License
- 5201004171 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
540 East Milham
Portage, MI 49002
Phone: (269) 381-1880
Fax: (269) 381-1850
Street-level locationGet directions
Mailing address
540 East Milham
Portage, MI 49002
Registry dates
- Enumerated
- 2012-04-25
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.