Individual provider Active NPI

Carrie Jean Ouvry, OTRL

  • Occupational Therapist
  • Douglas, MI
National Provider Identifier
1205327012
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009406 Issued in MI
Practice address
243 Wiley Rd
Douglas, MI 49406-5108
Phone
(616) 295-2217
NPI assigned
May 29, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 5201009406 MI Primary

Addresses

Primary practice location

243 Wiley Rd
Douglas, MI 49406-5108

Mailing address

5455 Ivanrest Ave SW
Wyoming, MI 49418-9144
Phone (616) 295-2217

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201009406MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1205327012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 IVANREST AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189144",
            "telephone_number": "616-295-2217",
            "fax_number": "616-295-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 WILEY RD",
            "city": "DOUGLAS",
            "state": "MI",
            "postal_code": "494065108",
            "telephone_number": "616-295-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUVRY",
        "first_name": "CARRIE",
        "middle_name": "JEAN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.