Individual provider Active NPI

Colleen Marie Bigelow, MOTRL

  • Occupational Therapist
  • Ann Arbor, MI
National Provider Identifier
1255817144
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004979 Issued in MI
Practice address
355 Huronview Blvd
Ann Arbor, MI 48103-2949
Phone
(734) 887-8630
Fax
(734) 213-7077
NPI assigned
Jul 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 5201004979 MI Primary

Addresses

Primary practice location

355 Huronview Blvd
Ann Arbor, MI 48103-2949

Mailing address

10442 Piedmont Dr
Brighton, MI 48114-7580
Phone (248) 921-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118000167 MI Practitioner - Occupational Therapist in Private Practice 5991197337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C M Bigelow Therapy Occupational Therapist CurrentSince Mar 13, 2022 Accepting new patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Dec 1, 2021 Accepting new patients

Locations

15475 Middlebelt Rd
Livonia, MI 48154
Phone (734) 427-9175

Organizations & group practices 2

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": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1255817144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10442 PIEDMONT DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147580",
            "telephone_number": "248-921-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HURONVIEW BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032949",
            "telephone_number": "734-887-8630",
            "fax_number": "734-213-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "MOTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.