Individual provider Active NPI

Desaree M Carwile, OTR CHT

  • Occupational Therapist
  • Troy, MI
National Provider Identifier
1194967737
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005486 Issued in MI
Practice address
1350 Kirts Blvd
Troy, MI 48084-4851
Phone
(248) 519-4900
Fax
(248) 269-0385
NPI assigned
Mar 27, 2009
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201005486 MI Primary

Addresses

Primary practice location

1350 Kirts Blvd
Troy, MI 48084-4851

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 1

IdentifierTypeStateIssuer
1194967737MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090716000175 MI Practitioner - Occupational Therapist in Private Practice 2860544285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4844 N Adams Rd
Plymouth PT Rochester
Oakland Township, MI 48306-1415
Phone (248) 726-7015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Physical Therapy Specialists Limited Partnership CurrentSince Sep 30, 2024 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership CurrentSince Sep 30, 2024 Accepting new patients
Specialty Investments PastSince Apr 3, 2017 Accepting new patients
Katranji Reconstructive Surgery Institute, PLLC Occupational Therapist PastSince May 16, 2008 Accepting new patients

Locations

49650 Cherry Hill Rd
Ste 230
Canton, MI 48187
Phone (734) 495-3725

4128 E Grand River Ave
Howell, MI 48843
Phone (517) 540-1060

39885 Grand River Ave
Ste 300
Novi, MI 48375
Phone (248) 615-0282

9368 N Lilley Rd
Plymouth, MI 48170
Phone (734) 416-3900

4844 N Adams Rd
Rochester, MI 48306
Phone (248) 377-2679

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1194967737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KIRTS BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844851",
            "telephone_number": "248-519-4900",
            "fax_number": "248-269-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARWILE",
        "first_name": "DESAREE",
        "middle_name": "M",
        "credential": "OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194967737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.