Active NPI
Donna Rickman, OTR
- Specialist
- Allen Park, MI
National Provider Identifier
1033325196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5201000508
- Practice address
- 16040 Goddard Rd
Allen Park, MI 48101-3304 - Phone
- (734) 785-7705
- Fax
- (734) 287-8221
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5201000508 | MI | Primary |
Addresses
Primary practice location
16040 Goddard Rd
Allen Park, MI 48101-3304
Mailing address
16040 Goddard
Allen Park, MI 48101
Phone (734) 785-7705
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201000508 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033325196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16040 GODDARD",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "48101",
"telephone_number": "734-785-7705",
"fax_number": "734-287-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16040 GODDARD RD",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013304",
"telephone_number": "734-785-7705",
"fax_number": "734-287-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKMAN",
"first_name": "DONNA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "5201000508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.