Elise Renee Dirkse, OTR/L
Individual provider Active NPI Occupational Therapist · Jenison, MI
NPI 1114201449 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1114201449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201000987 (MI)
- Practice address
- 7086 8TH Ave
Jenison, MI 49428-9352 - Phone
- (616) 667-9551
- Fax
- (616) 667-9552
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201000987 | MI | Yes |
Addresses
Primary practice location
7086 8TH Ave
Jenison, MI 49428-9352
Mailing address
1074 28TH Ave
Hudsonville, MI 49426-9630
Phone (616) 896-6484
Other providers in Jenison, MI
- Arianna Marie Detwiler
- Chloe May Devries
- William E Devries
- Diana L. Steketee, Ma, LLP, PLC
- Diana L Dillman
- Ashley Dobbelaire
- Kayla Dodde
- Douglas P. Borst DDS P.C.
- Angela Jo Douglass
- Wendy Doxey
All providers in Jenison, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.