A1 OCCUPATIONAL THERAPY LLC (NPI# 1356823116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356823116 |
Entity Type | Organization |
Organization Name | A1 OCCUPATIONAL THERAPY LLC |
Practice Address |
23265 Northwestern Hwy Ste 200 Southfield MI 48075-7707 |
Practice Telephone | 2489969428 |
Mailing Telephone | 2489969428 |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |
Authorized Official Name | JACQUELYN LUCIDO (OCCUPATIONAL THERAPIST) |
Authorized Official Telephone | 5865407193 |
Authorized Official Credential | OTRL |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
Street Address |
23265 NORTHWESTERN HWY STE 200 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48075-7707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033771589 | Vincent James Tkac | Occupational Therapist | 23265 Northwestern Hwy Ste 200, Southfield, MI 48075-7707 | 2019-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
Find all providers in zip 48075 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
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---|---|---|---|---|
1154817088 | New Horizon Chiropractic Pllc | Clinic/Center | 15565 Northland Dr W Ste 308, Southfield, MI 48075-5312 | 2018-07-03 |
1174047286 | 411 Help LLC | Clinic/Center | 23265 Northwestern Hwy Ste 300, Southfield, MI 48075-7707 | 2017-07-31 |
1891230231 | Arinas Rehab | Clinic/Center | 22340 Maplewood Dr, Southfield, MI 48033-3658 | 2016-12-20 |
1477993871 | Oakland Physical Therapy and Rehab Inc | Clinic/Center | 24681 Nwestern Hwy, Southfield, MI 48075-2305 | 2013-06-28 |
1902006158 | Axiom Physical Therapy & Rehabilitation Center Inc | Clinic/Center | 17520 W. 12 Mile Road, Suite # 104, Southfield, MI 48076-1943 | 2007-07-24 |
1356371983 | Michigan Therapeutic Solutions Inc | Clinic/Center | 25865 W 12 Mile Rd, Suite 116, Southfield, MI 48034 | 2006-07-03 |
1013403658 | H & K Holding Group LLC | Clinic/Center | 15565 Northland Dr W Ste 308, Southfield, MI 48075-5312 | 2018-07-06 |
1699787564 | F. H. Rehab Inc. | Clinic/Center | 20905 Greenfield Road, Ste. 608m, Southfield, MI 48075 | 2006-08-12 |
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1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
1164951141 | Alpha Physical Therapy & Rehab LLC | Clinic/Center | 2127 15 Mile Rd, Sterling Heights, MI 48310-4835 | 2017-06-05 |
1801333083 | Delta Physical Therapy and Rehab LLC | Clinic/Center | 2033 Whitefield St, Dearborn Heights, MI 48127-3422 | 2017-01-25 |
1942747423 | My Tactical Advantage LLC | Clinic/Center | 13305 W 7 Mile Rd, Detroit, MI 48235-1340 | 2017-01-23 |
1538544911 | Red Phoenix Stroke & Rehabilitation Inc. | Clinic/Center | 481 Village Oaks Ct, Ann Arbor, MI 48103-6129 | 2015-07-27 |
1528259850 | Amir Nagy Nawar | Clinic/Center | 1580 Crimson Dr, Troy, MI 48083-5505 | 2007-08-01 |
1962551648 | Harbor Hall, Inc. | Clinic/Center | 704 Emmet St, Petoskey, MI 49770-2910 | 2007-01-10 |
1093873549 | Rainbow Rehabilitation Centers, Inc. | Clinic/Center | 5570 Whittaker Rd, Ypsilanti, MI 48197-9752 | 2006-12-05 |
1770657181 | M. J. Kim, Inc | Clinic/Center | 340 Ecorse Rd, Ypsilanti, MI 48198-5734 | 2006-11-17 |
Find all providers with the same taxonomy |
City | SOUTHFIELD |
Zip Code | 48075 |
Please comment or provide details below to improve the information on A1 OCCUPATIONAL THERAPY LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.