Active NPI
Sophie Adama Green
- Occupational Therapist
- Farmington Hills, MI
National Provider Identifier
1124725890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 52011013218
- Practice address
- 28292 Harwich Dr
Farmington Hills, MI 48334-3204 - Phone
- (734) 219-1992
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 52011013218 | MI | Primary |
Addresses
Primary practice location
28292 Harwich Dr
Farmington Hills, MI 48334-3204
Mailing address
28292 Harwich Dr
Farmington Hills, MI 48334-3204
Phone (734) 219-1992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E01453250 | Other | MI | COLLEGE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52011013218 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1124725890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28292 HARWICH DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343204",
"telephone_number": "734-219-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28292 HARWICH DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343204",
"telephone_number": "734-219-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SOPHIE",
"middle_name": "ADAMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "52011013218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLLEGE",
"identifier": "E01453250",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.