Active NPI
Joel M Phillips, O.T.
- Physical Rehabilitation Occupational Therapist
- Kalamazoo, MI
National Provider Identifier
1023052412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 5201006390
- Practice address
- 2297 S 9TH St
Kalamazoo, MI 49009-9462 - Phone
- (269) 377-5594
- Fax
- (888) 594-4367
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201006390 | MI | |
| Hand Occupational Therapist | 225XH1200X | 5201006390 | MI | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 5201006390 | MI | Primary |
Addresses
Primary practice location
2297 S 9TH St
Kalamazoo, MI 49009-9462
Mailing address
2297 S 9TH St
Kalamazoo, MI 49009-9462
Phone (269) 377-5594
Other practice location 1
505 E Alcott St
Kalamazoo, MI 49001-6144
Phone (269) 349-2641
Other practice location 2
117 W Paterson St
Kalamazoo, MI 49007-2581
Phone (269) 349-2641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023052412 | Other | MI | NPI |
| 155812 | Other | GREAT LAKES HLTH PLN | |
| OP15760 | Other | MI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 93.09
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center Inc | Current | Accepting new patients | |
| Family Health Center Inc | Current | Accepting new patients | |
| Renaissance Rehabilitation Associates PLLC | Occupational Therapist | Past | Accepting new patients |
Locations
117 W Paterson St
Kalamazoo, MI 49007
505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1811065576
-
- Massage Therapist
- Kalamazoo, MI
- NPI 1477757573
Occupational Therapist
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1215768296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1023052412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2297 S 9TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099462",
"telephone_number": "269-377-5594",
"fax_number": "888-594-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2297 S 9TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099462",
"telephone_number": "269-377-5594",
"fax_number": "888-594-4367"
}
],
"practiceLocations": [
{
"address_1": "505 E Alcott St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490016144",
"country_code": "US",
"telephone_number": "269-349-2641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 W Paterson St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490072581",
"country_code": "US",
"telephone_number": "269-349-2641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JOEL",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006390",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MI",
"license": "5201006390",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MI",
"license": "5201006390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1023052412",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HLTH PLN",
"identifier": "155812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "OP15760",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.