Active NPI
Jodi Marie Douse, OTRL
- Occupational Therapist
- Grand Rapids, MI
National Provider Identifier
1194154062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201008641
- Practice address
- 1331 Lake Dr SE
Grand Rapids, MI 49506-1674 - Phone
- (616) 447-7799
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008641 | MI | Primary |
Addresses
Primary practice location
1331 Lake Dr SE
Grand Rapids, MI 49506-1674
Mailing address
942 Bellclaire Ave SE
East Grand Rapids, MI 49506-3104
Phone (248) 766-6918
Other names 1
- Miss Jodi Marie Knieling
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1194154062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 BELLCLAIRE AVE SE",
"city": "EAST GRAND RAPIDS",
"state": "MI",
"postal_code": "495063104",
"telephone_number": "248-766-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 LAKE DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061674",
"telephone_number": "616-447-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUSE",
"first_name": "JODI",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "KNIELING",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.