Autumn Conner, MOT, OTRL

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5201010040 Issued in MI

Practice address

27472 Schoenherr Rd Ste 130
Warren, MI 48088-6675

Phone

(586) 439-6243

Fax

(586) 439-6240

NPI assigned

Nov 2, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Healthcare PLLCGroup PAC ID 2860890571, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBBFCD

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.

• Elite Healthcare PLLC

  • Orthopaedic Hand Surgery Physician
  • Troy, MI
  • NPI 1659040731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1174035828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27472 SCHOENHERR RD STE 130",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886675",
            "telephone_number": "586-439-6243",
            "fax_number": "586-439-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27472 SCHOENHERR RD STE 130",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886675",
            "telephone_number": "586-439-6243",
            "fax_number": "586-439-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36622 Five Mile Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541900",
            "country_code": "US",
            "telephone_number": "734-542-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "AUTUMN",
        "credential": "MOT, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201010040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5201010040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Computerized Joint Surgeryllc
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Pamela Marie Confer, OTR/L
• Keiana Conley
• Jennifer Nicole Conner, P.T, DPT
• Consortium Laboratory Services, LLC
• Consortiums Laboratory Services LLC
• Wayne P. Conti, R.PH.
• Caroline Cook, HOME CARE PROVIDER

• Hand Occupational Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Hand Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.