Active NPI
Louise Tinetti Green, OT
- Occupational Therapist
- Commerce Township, MI
National Provider Identifier
1043496078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201001558
- Practice address
- 2075 E West Maple Rd
Suite B204
Commerce Township, MI 48390-3816 - Phone
- (248) 926-0909
- Fax
- (248) 624-3332
- NPI assigned
- Jan 22, 2008
- Last updated
- Jan 17, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001558 | MI | Primary |
Addresses
Primary practice location
2075 E West Maple Rd
Suite B204
Commerce Township, MI 48390-3816
Mailing address
2075 E West Maple Rd
Suite B204
Commerce Township, MI 48390-3816
Phone (248) 926-0909
Other practice location 1
30100 Telegraph Rd Ste 140
Bingham Farms, MI 48025-4516
Phone (248) 385-0030
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Institute for Children | Past | Accepting new patients | |
| Detroit Institute for Children | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Abilities Center
- Specialist
- Commerce Township, MI
- NPI 1770658239
-
- Speech-Language Pathologist
- Commerce Township, MI
- NPI 1811061948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1043496078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 E WEST MAPLE RD",
"address_2": "SUITE B204",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483903816",
"telephone_number": "248-926-0909",
"fax_number": "248-624-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 E WEST MAPLE RD",
"address_2": "SUITE B204",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483903816",
"telephone_number": "248-926-0909",
"fax_number": "248-624-3332"
}
],
"practiceLocations": [
{
"address_1": "30100 Telegraph Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Bingham Farms",
"state": "MI",
"postal_code": "480254516",
"country_code": "US",
"telephone_number": "248-385-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "LOUISE",
"middle_name": "TINETTI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201001558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.