Active NPI
Deborah Schuitema, O.T.R.
- Occupational Therapist
- Byron Center, MI
National Provider Identifier
1174760052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- L211841
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L907214 | MI | MD | Community Health Worker |
| L211841 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ionia County Community Mental Health | Past | Accepting new patients | |
| Spectrum Community Services | Past | 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.
-
- Public Health or Welfare Agency
- Ionia, MI
- NPI 1760452122
-
- Home Health Agency
- Westland, MI
- NPI 1457117962
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.