Theresa Marie Dubauskas, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202006807 Issued in MI

Practice address

22950 Northline Rd
Taylor, MI 48180-4696

Phone

(734) 287-1230

Fax

(734) 287-8332

NPI assigned

Nov 20, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1124458666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34237 TONQUISH TRL",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857042",
            "telephone_number": "734-728-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22950 NORTHLINE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804696",
            "telephone_number": "734-287-1230",
            "fax_number": "734-287-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAUSKAS",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202006807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY ASSISTANT REGISTRATION",
            "identifier": "5202006807",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Taylor, MI
• Providers in Taylor, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.