Organization Active NPI

Radiant Family Therapies, LLC

  • Occupational Therapist
  • Jenison, MI
National Provider Identifier
1114517166
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Jan 24, 2021

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

Authorized official

Name
Barbra KaterbergNPI 1811335318
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Radiant

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.