Individual provider Active NPI

Taylor A Genschaw, MSOT, OTRL

  • Occupational Therapist
  • Alpena, MI
National Provider Identifier
1124611488
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1501 W Chisholm St
Alpena, MI 49707-1401
Phone
(989) 356-7248
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X MI
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

1501 W Chisholm St
Alpena, MI 49707-1401

Mailing address

5671 N Skeel Ave
Oscoda, MI 48750-1535

Other practice location 1

177 N Barlow Rd
Lincoln, MI 48742-4874
Phone (989) 739-0200

Other practice location 2

5671 N Skeel Ave
Oscoda, MI 48750-1535
Phone (989) 739-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Taylor.Genschaw@Midmichigan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. Past Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: taylor.genschaw@midmichigan.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1124611488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 N SKEEL AVE",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "989-356-7248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 N Barlow Rd",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "MI",
            "postal_code": "487424874",
            "country_code": "US",
            "telephone_number": "989-739-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5671 N Skeel Ave",
            "address_purpose": "LOCATION",
            "city": "Oscoda",
            "state": "MI",
            "postal_code": "487501535",
            "country_code": "US",
            "telephone_number": "989-739-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENSCHAW",
        "first_name": "TAYLOR",
        "middle_name": "A",
        "credential": "MSOT, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Taylor.Genschaw@Midmichigan.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1501 W Chisholm St",
            "city": "Alpena",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497071401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.