Individual provider Active NPI

Olivera Avram

  • Occupational Therapy Assistant
  • Chesterfield, MI
National Provider Identifier
1073071643
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
33875 Kiely Dr
Chesterfield, MI 48047-3604
Phone
(596) 725-6030
NPI assigned
Mar 3, 2019
Last updated
Mar 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X MI Primary
Environmental Modification Occupational Therapy Assistant 224ZE0001X MI

Addresses

Primary practice location

33875 Kiely Dr
Chesterfield, MI 48047-3604

Mailing address

5975 Rea CT
West Bloomfield, MI 48322-4801
Phone (586) 303-7001

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

NPI Registry JSON

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1073071643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 REA CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224801",
            "telephone_number": "586-303-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33875 KIELY DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473604",
            "telephone_number": "596-725-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVRAM",
        "first_name": "OLIVERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; 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.