Active NPI
Caitlin Mark, OTR
- Occupational Therapist
- Allegan, MI
National Provider Identifier
1144720186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3265 122ND Ave
Allegan, MI 49010 - Phone
- (269) 673-2102
- NPI assigned
- Feb 16, 2018
- 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 | Primary |
Addresses
Primary practice location
3265 122ND Ave
Allegan, MI 49010
Mailing address
4146 Sandy Dr
Dorr, MI 49323-9422
Phone (616) 808-9038
Other practice location 1
1700 Bronson Way
Kalamazoo, MI 49009-1095
Phone (269) 459-3728
Other practice location 2
285 N State St
Zeeland, MI 49464-1297
Phone (616) 772-4641
Other practice location 3
280 W 40th St
Holland, MI 49423-4664
Phone (616) 796-3600
Other practice location 4
2060 Health Dr SW
Wyoming, MI 49519-9687
Phone (616) 333-1200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1144720186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4146 SANDY DR",
"city": "DORR",
"state": "MI",
"postal_code": "493239422",
"telephone_number": "616-808-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3265 122ND AVE",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "49010",
"telephone_number": "269-673-2102"
}
],
"practiceLocations": [
{
"address_1": "1700 Bronson Way",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490091095",
"country_code": "US",
"telephone_number": "269-459-3728",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "285 N State St",
"address_purpose": "LOCATION",
"city": "Zeeland",
"state": "MI",
"postal_code": "494641297",
"country_code": "US",
"telephone_number": "616-772-4641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 W 40th St",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494234664",
"country_code": "US",
"telephone_number": "616-796-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2060 Health Dr SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199687",
"country_code": "US",
"telephone_number": "616-333-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARK",
"first_name": "CAITLIN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.