Neuroplastic Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

NEUROPLASTIC REHAB LLC

Practice address

215 Broadacre Ave
Clawson, MI 48017-1503

Phone

(248) 221-1145

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Quinn Counseller, OTD, OTRL, MBANPI 1992336077

Title

Occupational Therapist

Phone

(248) 221-1145

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quinn Counseller, OTD, OTR/L, MBA

  • Occupational Therapist
  • Bingham Farms, MI
  • NPI 1992336077
  NPD Authorized official
• Emily Ashley Schroeder, OTR/L

  • Occupational Therapist
  • Clawson, MI
  • NPI 1376408757
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1205698362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BROADACRE AVE",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BROADACRE AVE",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171503",
            "telephone_number": "248-221-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPLASTIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "COUNSELLER",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "248-221-1145",
        "authorized_official_credential": "OTD, OTRL, MBA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Clawson, MI
• Providers in Clawson, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.