Individual provider Active NPI

Caroline Markvluwer

  • Occupational Therapist
  • Grandville, MI
National Provider Identifier
1164147070
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2855 44TH St SW Ste 160
Grandville, MI 49418-2682
Phone
(616) 379-9887
NPI assigned
Oct 4, 2022
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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 NU Primary
Pediatric Occupational Therapist 225XP0200X 5201013143 MI

Addresses

Primary practice location

2855 44TH St SW Ste 160
Grandville, MI 49418-2682

Mailing address

2855 44TH St SW Ste 160
Grandville, MI 49418-2682
Phone (616) 379-9887

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
5201013143MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Pediatric Speech and Feeding Therapy, LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

2855 44th St SW
Ste 160
Grandville, MI 49418
Phone (616) 379-9887

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1164147070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 44TH ST SW STE 160",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182682",
            "telephone_number": "616-379-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 44TH ST SW STE 160",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182682",
            "telephone_number": "616-379-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKVLUWER",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201013143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.