Active NPI
Ulysses Monroe
- Occupational Therapist
- Plymouth, MI
National Provider Identifier
1003350125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18043
- Practice address
- 801 W Ann Arbor TRL
Suite 220
Plymouth, MI 48170-1694 - Phone
- (866) 991-0900
- NPI assigned
- Dec 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3271 | MS | |
| Occupational Therapist | 225X00000X | OT18043 | FL | Primary |
Addresses
Primary practice location
801 W Ann Arbor TRL
Suite 220
Plymouth, MI 48170-1694
Mailing address
2957 Selawick LN
Jacksonville, FL 32218-2357
Phone (866) 991-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3271 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroscience Consultants LLP | Past | Accepting new patients | |
| Neuro Physical Therapy & Sports Medicine II, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Vero Beach, FL
- NPI 1740034727
-
- Specialist
- Medley, FL
- NPI 1346217452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1003350125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2957 SELAWICK LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322182357",
"telephone_number": "866-991-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W ANN ARBOR TRL",
"address_2": "SUITE 220",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701694",
"telephone_number": "866-991-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "ULYSSES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT3271",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.