Active NPI
Pamela M Cantrell
- Occupational Therapist
- Sterling Heights, MI
National Provider Identifier
1154544492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201000625
- Practice address
- 37031 Mariano Dr
Sterling Heights, MI 48312-2051 - Phone
- (248) 336-8999
- Fax
- (248) 565-2029
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201000625 | MI | Primary |
Addresses
Primary practice location
37031 Mariano Dr
Sterling Heights, MI 48312-2051
Mailing address
37031 Mariano Drive
Sterling Heights, MI 48312
Phone (248) 336-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71020000E01582 | Other | MI | BCBS PROVIDER NO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201000625 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154544492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37031 MARIANO DRIVE",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48312",
"telephone_number": "248-336-8999",
"fax_number": "248-565-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37031 MARIANO DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483122051",
"telephone_number": "248-336-8999",
"fax_number": "248-565-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "PAMELA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201000625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO",
"identifier": "71020000E01582",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
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- Carrissa L. Canto, BA PSYCH, MBA, QMHP
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- Care and Transformation Center
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.