ELEESHA COLBURN
NPI 1174487573
Occupational Therapist in Grand Rapids, MI

Active since December 11, 2025
6191 KRAFT AVE SE, GRAND RAPIDS, MI 49512(800) 686-1600 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eleesha Colburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEESHA COLBURN (NPI 1174487573) is an individual occupational therapist in Grand Rapids, Michigan and active in the NPI registry since December 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1174487573
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELEESHA COLBURN
Location Address6191 KRAFT AVE SEGrand Rapids, MI 49512-9396
Mailing Address6191 Kraft Ave SeGrand Rapids, MI 49512-9396
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1174487573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
6191 KRAFT AVE SE, Grand Rapids, MI 49512

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eleesha Colburn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628536836
PECOS Enrollment IDI20260818004436

Medicare Billing Reassignment

Medicare enrollment records show Eleesha Colburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
2251 E PARIS AVE SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512
Occupational Therapist
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512
Occupational Therapist
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512
Occupational Therapist
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512
Specialist/Technologist (Athletic Trainer)
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512
Specialist/Technologist (Athletic Trainer)
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512
Specialist/Technologist (Athletic Trainer)
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512
Specialist/Technologist (Athletic Trainer)
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eleesha Colburn's NPI number?

The NPI number for Eleesha Colburn is 1174487573. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Eleesha Colburn located?

Eleesha Colburn practices at 6191 Kraft Ave SE, Grand Rapids, MI 49512. The listed phone number is (800) 686-1600.

What is Eleesha Colburn's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Eleesha Colburn enrolled in Medicare?

Yes. Eleesha Colburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eleesha Colburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eleesha Colburn reassigns Medicare benefits to Theraplay, Inc. (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eleesha Colburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eleesha Colburn accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Eleesha Colburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eleesha Colburn was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.