Active NPI
Dawn E. Ziegler, COTAL
- Occupational Therapy Assistant
- Livonia, MI
National Provider Identifier
1295299147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 52020004
- Practice address
- 29667 Wentworth St
Livonia, MI 48154-6231 - Phone
- (734) 261-9000
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 52020004 | MI | Primary |
Addresses
Primary practice location
29667 Wentworth St
Livonia, MI 48154-6231
Mailing address
7050 Foxridge Dr
Canton, MI 48187-3586
Phone (734) 812-2477
Other names 1
- Dawn E Keller
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
| License | State | Type | Specialty |
|---|---|---|---|
| 52020004 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1295299147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 FOXRIDGE DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481873586",
"telephone_number": "734-812-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29667 WENTWORTH ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481546231",
"telephone_number": "734-261-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGLER",
"first_name": "DAWN",
"middle_name": "E.",
"credential": "COTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "52020004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "KELLER",
"middle_name": "E",
"credential": "COTAL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.