Individual provider Active NPI

Deborah Schuitema, O.T.R.

  • Occupational Therapist
  • Byron Center, MI
National Provider Identifier
1174760052
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
L211841 Issued in MI
Practice address
2638 Ridge Top Dr SW
Byron Center, MI 49315-9786
Phone
(616) 878-3867
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X L907214 MI
Occupational Therapist 225X00000X L211841 MI Primary

Addresses

Primary practice location

2638 Ridge Top Dr SW
Byron Center, MI 49315-9786

Mailing address

2638 Ridge Top Dr SW
Byron Center, MI 49315-9786
Phone (616) 878-3867

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
L907214MIMDCommunity Health Worker
L211841MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ionia County Community Mental Health Past Accepting new patients
Spectrum Community Services PastSince Feb 25, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1174760052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 RIDGE TOP DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159786",
            "telephone_number": "616-878-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 RIDGE TOP DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159786",
            "telephone_number": "616-878-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUITEMA",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "L907214",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "L211841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.