Active NPI
Rita Ray
- Occupational Therapist
- Farmington Hills, MI
National Provider Identifier
1326519927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201003849
- Practice address
- 34505 W 12 Mile Rd Ste 100
Farmington Hills, MI 48331-3287 - Phone
- (734) 343-7518
- NPI assigned
- Dec 9, 2018
- 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 | 5201003849 | MI | Primary |
Addresses
Primary practice location
34505 W 12 Mile Rd Ste 100
Farmington Hills, MI 48331-3287
Mailing address
144 Allen Lake Dr
White Lake, MI 48386-2402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508823774 | Medicaid | MI |
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 |
|---|---|---|---|
| 5201003849 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1326519927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 ALLEN LAKE DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34505 W 12 MILE RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313287",
"telephone_number": "734-343-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "RITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-09",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201003849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508823774",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.