Organization Active NPI

The Therapy Place, L.L.C.

  • Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1306891932
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201006981 Issued in MI
Legal business name
THE THERAPY PLACE, L.L.C.
Practice address
626 Maple Hill Dr
Kalamazoo, MI 49009-1032
Phone
(269) 544-2901
Fax
(269) 341-9919
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy L Vincent, OTR/LNPI 1306890363
Title
Rehabilitation Director
Phone
(269) 544-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 5201006981 MI Primary

Addresses

Primary practice location

626 Maple Hill Dr
Kalamazoo, MI 49009-1032

Mailing address

626 Maple Hill Dr
Kalamazoo, MI 49009-1032
Phone (269) 544-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060303000059 MI Part B Supplier - Clinic/Group Practice 8325054117 Receives reassigned benefits from 2 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

626 Maple Hill Dr
Kalamazoo, MI 49009
Phone (269) 544-2901

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1306891932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MAPLE HILL DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091032",
            "telephone_number": "269-544-2901",
            "fax_number": "269-341-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MAPLE HILL DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091032",
            "telephone_number": "269-544-2901",
            "fax_number": "269-341-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY PLACE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REHABILITATION DIRECTOR",
        "authorized_official_telephone_number": "269-544-2901",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.