MEDICARE: KATHERINE PORTER OTR/L, CNIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201008944	MI

General Provider Information

NPI Number	:	1548665938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE PORTER OTR/L, CNIM

Provider Business Mailing Address
First Line	:	1055 FOREST HILL AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3626
Country	:	US
Telephone Number	:	616-942-1990
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 FOREST HILL AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3626
Country	:	US
Telephone Number	:	616-942-1990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2014
Last Update Date	:	10/28/2014

Similar Medicare Providers

1538241740 — SARAH HOEKSTRA
Practice Location Address:

1055 FOREST HILL AVE SE
GRAND RAPIDS, MI
49546-3626

Practice Phone: 616-974-5333
Practice Fax:

1275906604 — MRS. PATRICIA LYNN WESTOVER DPT
Practice Location Address:

1055 FOREST HILL AVE SE
GRAND RAPIDS, MI
49546-3626

Practice Phone: 616-942-1990
Practice Fax:

1558404558 — MS. OFELIA NARVASA M.D.
Practice Location Address:

3626 GRAND AVE , SUITE A
CHINO HILLS, CA
91709-1478

Practice Phone: 909-613-0058
Practice Fax: 909-613-0144

1780891457 — OFELIA L. NARVASA, MD, INC.
Practice Location Address:

3626 GRAND AVE STE A
CHINO HILLS, CA
91709-1478

Practice Phone: 909-613-0058
Practice Fax:

1346459872 — CECILIA SORIANO-CASACLANG, M.D INC.
Practice Location Address:

3626 GRAND AVE , SUITE A
CHINO HILLS, CA
91709-1478

Practice Phone: 909-364-0602
Practice Fax:

1518422542 — CHRIS JAMES PEARSON RDN
Practice Location Address:

13985 W GRAND AVE STE 101
SURPRISE, AZ
85374-3626

Practice Phone: 623-251-2884
Practice Fax:

Directions to “ KATHERINE PORTER OTR/L, CNIM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.