Individual provider Active NPI

Robin Mercer, OTRL

  • Occupational Therapist
  • Livonia, MI
National Provider Identifier
1134523970
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201000764 Issued in MI
Practice address
29836 Bobrich St
Livonia, MI 48152-4540
Phone
(734) 421-0056
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
Yes

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201000764MIMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201000764 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

29836 Bobrich St
Livonia, MI 48152-4540

Mailing address

29836 Bobrich St
Livonia, MI 48152-4540
Phone (734) 421-0056

Other practice location 1

30100 Telegraph Rd Ste 140
Bingham Farms, MI 48025-4516
Phone (248) 385-0030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2019.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1134523970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29836 BOBRICH ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524540",
            "telephone_number": "734-421-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29836 BOBRICH ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524540",
            "telephone_number": "734-421-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30100 Telegraph Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254516",
            "country_code": "US",
            "telephone_number": "248-385-0030",
            "fax_number": "248-849-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCER",
        "first_name": "ROBIN",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.