Active NPI
Erin Michelle Quillman, LMT, CLT, COTA
- Massage Therapist
- Wolverine Lake, MI
National Provider Identifier
1073003182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501006602
- Practice address
- 2300 Darnell St
Wolverine Lake, MI 48390-1846 - Phone
- (248) 568-2113
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202005188 | MI | |
| Massage Therapist | 225700000X | 7501006602 | MI | Primary |
Addresses
Primary practice location
2300 Darnell St
Wolverine Lake, MI 48390-1846
Mailing address
2300 Darnell St
Wolverine Lake, MI 48390-1846
Phone (248) 568-2113
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 |
|---|---|---|---|
| 5202005188 | MI | MD | Occupational Therapy Assistant |
| 7501006602 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1073003182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 DARNELL ST",
"city": "WOLVERINE LAKE",
"state": "MI",
"postal_code": "483901846",
"telephone_number": "248-568-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 DARNELL ST",
"city": "WOLVERINE LAKE",
"state": "MI",
"postal_code": "483901846",
"telephone_number": "248-568-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLMAN",
"first_name": "ERIN",
"middle_name": "MICHELLE",
"credential": "LMT, CLT, COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202005188",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501006602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wolverine Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.