Amy Underwood Occupational Therapist LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5201009379 Issued in MI

Legal business name

AMY UNDERWOOD OCCUPATIONAL THERAPIST LLC

Practice address

226 Territorial Rd
Benton Harbor, MI 49022-3436

Phone

(773) 677-8921

NPI assigned

Jan 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Underwood

Title

Owner

Phone

(773) 677-8921

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1003352816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 E EUCLID AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229210",
            "telephone_number": "773-677-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 TERRITORIAL RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223436",
            "telephone_number": "773-677-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY UNDERWOOD OCCUPATIONAL THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-677-8921"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "5201009379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.