Organization Active NPI

Small Wonders Therapies LLC

  • Pediatric Occupational Therapist
  • Sterling Heights, MI
National Provider Identifier
1275415044
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SMALL WONDERS THERAPIES LLC
Practice address
8767 Headley Dr
Sterling Heights, MI 48314-2661
Phone
(954) 932-5958
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Rosemarie Bautista
Title
Owner
Phone
(954) 932-5958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

8767 Headley Dr
Sterling Heights, MI 48314-2661

Mailing address

8767 Headley Dr
Sterling Heights, MI 48314-2661
Phone (954) 932-5958

Other names 1

  • Small Wonders Therapies LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1275415044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 HEADLEY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142661",
            "telephone_number": "954-932-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 HEADLEY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142661",
            "telephone_number": "954-932-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL WONDERS THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-932-5958"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Wonders Therapies LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Small Wonders Therapies LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.