Tarisa Marie Tugun, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201004575 Issued in MI

Practice address

1428 Brookfield Dr
Ann Arbor, MI 48103-6085

Phone

(586) 703-6316

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Flourishing Lives Inc

  • Occupational Therapist
  • Saint Clair Shores, MI
  • NPI 1699377960
  NPD
• Pro-Rehab and Fitness Center, Inc.

  • Rehabilitation Clinic/Center
  • Trinidad, CO
  • NPI 1790750008
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1245383637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 BROOKFIELD DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036085",
            "telephone_number": "586-703-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 BROOKFIELD DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036085",
            "telephone_number": "586-703-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGUN",
        "first_name": "TARISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9153",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004575",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN OCCUPATIONAL THERAPIST REGISTRATION",
            "identifier": "5201004575",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Tucker
• Katherine Tucker
• Meagan Janelle Tucker, OD
• Ryan Vincent Tucker, M.D.
• Susan Tucker
• Aleco E Tujios, DDS
• Asmita Tuladhar
• Rosalyn Elaine Tulip, MIDWIFE
• Julia Michelina Tullio, MD
• Melina Tumpkin, LLPC

• Occupational Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.