NPIMap

Organization Active NPI

Live Well, PLLC

  • Occupational Therapist
  • Kentwood, MI
National Provider Identifier
1023481835
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008682 Issued in MI
Legal business name
LIVE WELL, PLLC
Practice address
5497 W Rosebud CT SE
Kentwood, MI 49512-9446
Phone
(616) 540-7213
Fax
(616) 607-0033
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Stephanie Trombley, OTR/L
Title
Occupational Therapist
Phone
(616) 540-7213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 5201008682 MI Primary

Addresses

Primary practice location

5497 W Rosebud CT SE
Kentwood, MI 49512-9446

Mailing address

5497 W Rosebud CT SE
Kentwood, MI 49512-9446
Phone (616) 540-7213

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1023481835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5497 W ROSEBUD CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129446",
            "telephone_number": "616-540-7213",
            "fax_number": "616-607-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5497 W ROSEBUD CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129446",
            "telephone_number": "616-540-7213",
            "fax_number": "616-607-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "TROMBLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "616-540-7213",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.