Active NPI
Radiant Family Therapies, LLC
- Occupational Therapist
- Jenison, MI
National Provider Identifier
1114517166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- RADIANT FAMILY THERAPIES, LLC
- Practice address
- 8382 Wallinwood Springs Dr
Jenison, MI 49428-8343 - Phone
- (616) 309-0768
- Fax
- (616) 309-0768
- NPI assigned
- Jan 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbra Katerberg
- Title
- OT
- Phone
- (616) 309-0768
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
8382 Wallinwood Springs Dr
Jenison, MI 49428-8343
Mailing address
8382 Wallinwood Springs Dr
Jenison, MI 49428-8343
Other names 1
- Radiant Family Therapies, LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Radiant |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Marne, MI
- NPI 1811335318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611446400000",
"number": "1114517166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8382 WALLINWOOD SPRINGS DR",
"city": "JENISON",
"state": "MI",
"postal_code": "494288343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8382 WALLINWOOD SPRINGS DR",
"city": "JENISON",
"state": "MI",
"postal_code": "494288343",
"telephone_number": "616-309-0768",
"fax_number": "616-309-0768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT FAMILY THERAPIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A",
"authorized_official_last_name": "KATERBERG",
"authorized_official_first_name": "BARBRA",
"authorized_official_title_or_position": "OT",
"authorized_official_telephone_number": "616-309-0768"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Radiant",
"affiliation": "N",
"address_1": "8382 Wallinwood Springs Dr",
"city": "Jenison",
"state": "MI",
"country_code": "US",
"postal_code": "494288343",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Radiant Family Therapies, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.