Active NPI
Desaree M Carwile, OTR CHT
- Occupational Therapist
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005486
- 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, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194967737 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plymouth Physical Therapy Specialists Limited Partnership | Current | Accepting new patients | |
| Plymouth Physical Therapy Specialists Limited Partnership | Current | Accepting new patients | |
| Specialty Investments | Past | Accepting new patients | |
| Katranji Reconstructive Surgery Institute, PLLC | Occupational Therapist | Past | 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.
-
- Physical Therapist
- Northville, MI
- NPI 1174626329
-
- Physical Therapist
- South Lyon, MI
- NPI 1407306012
-
dba KRSI;Katranji Hand Center;MichiganTherapy Center;Meridian Surgeons;
- Surgery of the Hand (Surgery) Physician
- East Lansing, MI
- NPI 1336314210
Occupational Therapist
-
dba Spartan Urgent Care
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1104101112
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.