NPIMap

Individual provider Active NPI

Stephen Watts, OTR/L

  • Occupational Therapist
  • Clinton Township, MI
National Provider Identifier
1275946097
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008854 Issued in MI
Practice address
42536 Hayes Rd
Suite 600
Clinton Township, MI 48038-6766
Phone
(586) 978-2359
Fax
(586) 978-2372
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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 5201008854 MI Primary

Addresses

Primary practice location

42536 Hayes Rd
Suite 600
Clinton Township, MI 48038-6766

Mailing address

42536 Hayes Rd
Suite 600
Clinton Township, MI 48038-6766
Phone (586) 978-2359

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Rehabilitation Services, LLC Past Accepting new patients
Quality Care Rehabilitation Professionals Occupational Therapist Past Accepting new patients
Quality Rehabilitation Services, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1275946097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42536 HAYES RD",
            "address_2": "SUITE 600",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386766",
            "telephone_number": "586-978-2359",
            "fax_number": "586-978-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42536 HAYES RD",
            "address_2": "SUITE 600",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386766",
            "telephone_number": "586-978-2359",
            "fax_number": "586-978-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "STEPHEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.