Individual provider Active NPI

Ava Maria Bell, C.O.T.A.

  • Occupational Therapy Assistant
  • Plymouth, MI
National Provider Identifier
1265576730
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
AA586776 Issued in MI
Practice address
729 W Ann Arbor TRL
Suite 200
Plymouth, MI 48170-1631
Phone
(734) 414-7056
Fax
(734) 414-9925
NPI assigned
Feb 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X AA586776 MI Primary

Addresses

Primary practice location

729 W Ann Arbor TRL
Suite 200
Plymouth, MI 48170-1631

Mailing address

18154 San Rosa Blvd
Lathrup Village, MI 48076-2632
Phone (248) 443-0887

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
AA586776MIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265576730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18154 SAN ROSA BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762632",
            "telephone_number": "248-443-0887",
            "fax_number": "248-443-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W ANN ARBOR TRL",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701631",
            "telephone_number": "734-414-7056",
            "fax_number": "734-414-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "AVA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "AA586776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.