Active NPI
Ellen Jean Kiefer, OTR
- Occupational Therapist
- Bloomfield Hills, MI
National Provider Identifier
1316078496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201006451
- Practice address
- 43940 Woodward Ave
Suite 100B
Bloomfield Hills, MI 48302-5024 - Phone
- (586) 532-0803
- Fax
- (586) 532-0883
- NPI assigned
- Mar 8, 2007
- 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 Therapist | 225X00000X | 5201006451 | MI | Primary |
Addresses
Primary practice location
43940 Woodward Ave
Suite 100B
Bloomfield Hills, MI 48302-5024
Mailing address
43417 Schoenherr Rd
Sterling Heights, MI 48313-1961
Phone (586) 532-0803
Other names 1
- Ellen Jean Sullivan
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Sterling Margaret LLC | Past | Accepting new patients | |
| Mendelson Orthopedics PC | Past | Accepting new patients | |
| Uzma Rehman DO PC | 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 and National Provider Directory roles.
-
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- Livonia, MI
- NPI 1720153463
-
dba Macomb Hand Surgery
- Orthopaedic Hand Surgery Physician
- Shelby Township, MI
- NPI 1699978239
-
dba Excel Rehabilitation Services
- Physical Therapist
- Novi, MI
- NPI 1003946625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1316078496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43417 SCHOENHERR RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131961",
"telephone_number": "586-532-0803",
"fax_number": "586-532-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43940 WOODWARD AVE",
"address_2": "SUITE 100B",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025024",
"telephone_number": "586-532-0803",
"fax_number": "586-532-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "ELLEN",
"middle_name": "JEAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "SULLIVAN",
"middle_name": "JEAN",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.