OT Bob

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

OT BOB

Practice address

2098 Mapleridge Rd
Rochester Hills, MI 48309-4504

Phone

(248) 760-5521

NPI assigned

Feb 16, 2009

Last updated

Feb 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Arthur Carlson, MS, OTR

Title

Registered Occupational Therapist

Phone

(248) 760-5521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1184863045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 MAPLERIDGE RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094504",
            "telephone_number": "248-760-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 MAPLERIDGE RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094504",
            "telephone_number": "248-760-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT BOB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "REGISTERED OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "248-760-5521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, OTR"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Community Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.