Individual provider Active NPI

Victoria McWherter, COTAL

  • Occupational Therapy Assistant
  • Clinton TWP, MI
National Provider Identifier
1275724080
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202005133 Issued in MI
Practice address
44738 Morley Dr
Clinton TWP, MI 48036-1357
Phone
(586) 421-4062
Fax
(586) 421-4072
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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 5202005133 MI Primary

Addresses

Primary practice location

44738 Morley Dr
Clinton TWP, MI 48036-1357

Mailing address

44738 Morley Dr
Clinton TWP, MI 48036-1357
Phone (586) 421-4062

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
5202005133MIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1275724080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44738 MORLEY DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361357",
            "telephone_number": "586-421-4062",
            "fax_number": "586-421-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44738 MORLEY DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361357",
            "telephone_number": "586-421-4062",
            "fax_number": "586-421-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHERTER",
        "first_name": "VICTORIA",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202005133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.