Active NPI
Nurture Occupational Therapy, PLLC
- Pediatric Occupational Therapist
- Novi, MI
National Provider Identifier
1114656501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- NURTURE OCCUPATIONAL THERAPY, PLLC
- Practice address
- 41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857 - Phone
- (616) 308-0719
- NPI assigned
- Jun 9, 2022
- 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
- Candace Peterson, MS, OTRL
- Title
- Occupational Therapist, Owner
- Phone
- (616) 308-0719
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857
Mailing address
41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857
Phone (616) 308-0719
Other names 1
- Lead The Way Therapies
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659052800000",
"number": "1114656501",
"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": "616-308-0719"
},
{
"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": "616-308-0719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURTURE OCCUPATIONAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-09",
"last_updated": "2022-07-29",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
"authorized_official_telephone_number": "616-308-0719",
"authorized_official_credential": "MS, OTRL"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lead The Way Therapies",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lead The Way Therapies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.