Essential Skills Occupational Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ESSENTIAL SKILLS OCCUPATIONAL THERAPY, LLC

Practice address

12211 Patton Rd
Grand Rapids, OH 43522-9640

Phone

(517) 918-9205

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Stacey Miles, OTR/LNPI 1225372824

Title

Occupational Therapist

Phone

(517) 918-9205

Specialties & licenses 2

Addresses

Practitioners 1

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

• Stacey L Miles, OTR/L

  • Specialist
  • Toledo, OH
  • NPI 1225372824
  NPD Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1235700477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 PATTON RD",
            "city": "GRAND RAPIDS",
            "state": "OH",
            "postal_code": "435229640",
            "telephone_number": "517-918-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 PATTON RD",
            "city": "GRAND RAPIDS",
            "state": "OH",
            "postal_code": "435229640",
            "telephone_number": "517-918-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL SKILLS OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "517-918-9205",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Baumbarger
• Neha Bhardwaj
• Brittney Creps Lisw LLC
• Jody Keifer Donsbach
• Dr. Adnan Ahmed DDS, Inc.
• Grand Rapids Healthcare Group, LLC
• Beth Elaine Hannum
• Jennifer Marie Hertzfeld, LMT
• Megan Klein
• Michelle Laver, LISW-S

• All providers in Grand Rapids, OH
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.