Mary Archer, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201009471 Issued in MI

Practice address

41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857

Phone

(248) 719-7002

NPI assigned

Apr 21, 2016

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progressive Pathways, LLC

  • Speech-Language Pathologist
  • Novi, MI
  • NPI 1629514054
  NPD

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1114371663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751857",
            "telephone_number": "248-719-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751857",
            "telephone_number": "248-719-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "MARY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201009471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Jerome Arbit, M.D.
• Arbor Dental Associates PLLC
• Arbor Lane Pharmacy at Fox Run Inc.
• Tracey A Arbour, DPM
• Arcadia Healthcare Solutions, Inc.
• Caitlyn Archuleta
• Teri Archuleta
• Ariel Arcidiacono
• Penny Ardissone
• Sophia K Arellanes

• Pediatric Occupational Therapist in Novi, MI
• Providers in Novi, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.