Opening Doors Occupational Therapy

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

5201008151 Issued in MI

Legal business name

OPENING DOORS OCCUPATIONAL THERAPY

Practice address

3925 Hopkins Lake Dr
Ludington, MI 49431-9351

Phone

(231) 690-4220

Fax

(231) 316-6040

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Janicki, OTR/LNPI 1144627928

Title

Owner/Therapist

Phone

(231) 690-4220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Janicki

  • Occupational Therapist
  • Ludington, MI
  • NPI 1144627928
  NPD (past) Authorized official

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1093260234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 HOPKINS LAKE DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494319351",
            "telephone_number": "231-690-4220",
            "fax_number": "231-316-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 HOPKINS LAKE DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494319351",
            "telephone_number": "231-690-4220",
            "fax_number": "231-316-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENING DOORS OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "JANICKI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "231-690-4220",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "5201008151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakview Medical Care Facility
• Mary Keating Ocallaghan, DO
• Gene Lynn Olsen, RN, FNP
• Marya Olson
• Robert Paul Olson, CRNA
• Roger Edgren Ostling, CLINICAL SOCIAL WORK
• Robert Overholt, D.D.S.
• Amanda Jo Overmyer, M.D.
• Spencer Panse, DPM
• Elizabeth Ann Pasco, PHARMD

• Public Health or Welfare Agency in Ludington, MI
• Providers in Ludington, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.