Individual provider Active NPI

Joanne Feutz, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1285058602
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201001804 Issued in MI
Practice address
3600 Camelot Dr SE
Grand Rapids, MI 49546-8103
Phone
(616) 949-1100
Fax
(616) 949-7865
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 5201001804 MI Primary

Addresses

Primary practice location

3600 Camelot Dr SE
Grand Rapids, MI 49546-8103

Mailing address

3600 Camelot Dr SE
Grand Rapids, MI 49546-8103
Phone (616) 949-1100

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
5201001804MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Disability Advocates of Kent County Past Accepting new patients

Organizations & group practices 1

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1285058602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAMELOT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468103",
            "telephone_number": "616-949-1100",
            "fax_number": "616-949-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CAMELOT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468103",
            "telephone_number": "616-949-1100",
            "fax_number": "616-949-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUTZ",
        "first_name": "JOANNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.