Active NPI
Caroline Markvluwer
- Occupational Therapist
- Grandville, MI
National Provider Identifier
1164147070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201013143 | MI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Pediatric Speech and Feeding Therapy, LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Grandville, MI
- NPI 1265074827
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.