Individual provider Active NPI

Rufus Onus Iyoha, OTR

  • Gerontology Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1235417908
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
114315 Issued in TX
Practice address
1864 Stonebrook Dr NE
Grand Rapids, MI 49505-6421
Phone
(269) 978-3062
NPI assigned
Jul 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 114315 TX
Occupational Therapist 225X00000X 5201008002 MI
Gerontology Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XG0600X 114315 TX Primary

Addresses

Primary practice location

1864 Stonebrook Dr NE
Grand Rapids, MI 49505-6421

Mailing address

13716 Cortes de Pallas Dr
Little Elm, TX 75068-0829
Phone (469) 544-3993

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
5201008002MIMDOccupational Therapist
114315TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Equipment Services LLC CurrentSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1235417908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 CORTES DE PALLAS DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680829",
            "telephone_number": "469-544-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 STONEBROOK DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056421",
            "telephone_number": "269-978-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYOHA",
        "first_name": "RUFUS",
        "middle_name": "ONUS",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114315",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008002",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TX",
            "license": "114315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 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.