Phyllis Joy Coulter-Brown, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201001683 Issued in MI

Practice address

16200 Hubbard Dr
Dearborn, MI 48126-4155

Phone

(313) 593-0899

Fax

(313) 593-3228

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104950476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 HAVERHILL DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063239",
            "telephone_number": "248-909-9049",
            "fax_number": "313-593-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 HUBBARD DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264155",
            "telephone_number": "313-593-0899",
            "fax_number": "313-593-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER-BROWN",
        "first_name": "PHYLLIS",
        "middle_name": "JOY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Occupational Therapist in Michigan

• 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.

Verify at the official NPI Registry.