Active NPI
Nathan Weirauch, OTR/L
- Occupational Therapist
- Novi, MI
National Provider Identifier
1285208157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201008211
- Practice address
- 42400 W 12 Mile Rd
Novi, MI 48377-3015 - Phone
- (248) 533-0998
- NPI assigned
- May 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008211 | MI | Primary |
Addresses
Primary practice location
42400 W 12 Mile Rd
Novi, MI 48377-3015
Mailing address
4036 Ash Tree LN
Howell, MI 48843-8063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Brighton, MI 48116
Phone (740) 953-1184
30637 W 14 Mile Rd
Farmington Hills, MI 48334-1531
Phone (947) 228-2411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008211 | MI | MD | Occupational Therapist |
Organizations & group practices 2
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.
-
- Physical Therapist
- Bay City, MI
- NPI 1942829064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621123200000",
"number": "1285208157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4036 ASH TREE LN",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42400 W 12 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483773015",
"telephone_number": "248-533-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIRAUCH",
"first_name": "NATHAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-16",
"last_updated": "2021-05-16",
"certification_date": "2021-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.