Amber Graves, OTRL
Individual provider Active NPI Occupational Therapist · Mount Morris, MI
NPI 1174025852 · NPPES record last updated Mar 8, 2018
Key facts
- NPI
- 1174025852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201008368 (MI)
- Practice address
- 2304 W Frances Rd
Mount Morris, MI 48458-8229 - Phone
- (810) 564-3160
- NPI assigned
- Mar 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
568 N Pine Rd
Bay City, MI 48708-9190
Phone (989) 778-1127
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212003237 | MI | Practitioner - Occupational Therapist in Private Practice | 8921441494 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008368 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
568 N Pine Rd
Bay City, MI 48708
Phone (989) 714-5007
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008368 | MI | Yes |
Addresses
Primary practice location
2304 W Frances Rd
Mount Morris, MI 48458-8229
Mailing address
5410 Tall Oaks Dr
Flint, MI 48507-3675
Phone (810) 624-2345
Other providers in Mount Morris, MI
- Genesys Integrated Group Practice PC
- Gill Case Management
- Lauren Golden
- Tierra Gordon
- Daniel Reuben Gotlib
- Scott Andrew Graves
- Great Lakes Family Dental Group - Mt Morris PC
- Dorothy Lea Gullette
- Matthew Scott Gunn
- H2G Dental PLLC
All providers in Mount Morris, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.