NPIMap

Organization Active NPI

Rooted Potential LLC

  • Occupational Therapist
  • Midland, MI
National Provider Identifier
1174264147
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ROOTED POTENTIAL LLC
Practice address
2621 W Wackerly St Ste B
Midland, MI 48640-6994
Phone
(989) 600-0794
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Katherine Gillette, MS, OTRNPI 1437493137
Title
Owner, Occupational Therapist
Phone
(989) 600-0794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2621 W Wackerly St Ste B
Midland, MI 48640-6994

Mailing address

2621 W Wackerly St Ste B
Midland, MI 48640-6994
Phone (989) 600-0794

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1174264147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST STE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406994",
            "telephone_number": "989-600-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST STE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406994",
            "telephone_number": "989-600-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED POTENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "989-600-0794",
        "authorized_official_credential": "MS, OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.