Individual provider Active NPI

Madeline Marie Bartek, MOT, OTR/L

  • Occupational Therapist
  • Ann Arbor, MI
National Provider Identifier
1013594779
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201011161 Issued in MI
Practice address
3200 W Liberty Rd Ste F
Ann Arbor, MI 48103-9180
Phone
(734) 369-6002
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201011161 MI Primary

Addresses

Primary practice location

3200 W Liberty Rd Ste F
Ann Arbor, MI 48103-9180

Mailing address

3200 W Liberty Rd Ste F
Ann Arbor, MI 48103-9180
Phone (734) 369-6002

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

LicenseStateTypeSpecialty
5201011161MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1013594779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039180",
            "telephone_number": "734-369-6002",
            "fax_number": "734-315-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039180",
            "telephone_number": "734-369-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEK",
        "first_name": "MADELINE",
        "middle_name": "MARIE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.