Active NPI
Dolores Grosso
- Occupational Therapist
- East China, MI
National Provider Identifier
1336603471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201003223
- Practice address
- 4100 River Rd
East China, MI 48054-2909 - Phone
- (810) 329-5385
- Fax
- (810) 329-8919
- NPI assigned
- Jan 23, 2019
- Last updated
- Jan 23, 2019
- Sex
- Female
- 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 | 5201003223 | MI | Primary |
Addresses
Primary practice location
4100 River Rd
East China, MI 48054-2909
Mailing address
6740 Swan Creek Rd
Fair Haven, MI 48023
Phone (586) 725-1792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201003223 | Medicaid | MI |
Other names 1
- Dolores Pulinko
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 |
|---|---|---|---|
| 5201003223 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1336603471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 SWAN CREEK RD",
"city": "FAIR HAVEN",
"state": "MI",
"postal_code": "48023",
"telephone_number": "586-725-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 RIVER RD",
"city": "EAST CHINA",
"state": "MI",
"postal_code": "480542909",
"telephone_number": "810-329-5385",
"fax_number": "810-329-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSO",
"first_name": "DOLORES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201003223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5201003223",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOLORES",
"last_name": "PULINKO",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East China, MI
- Beth Falls, OTL
- Avery Anna Goulette, RBT
- Jessica Jo Grace, M.D.
- Greener Pastures Therapy Center
- Susan Leigh Greiner, PA-C
- Mark S Hamilton, MD
- Megan Leigh Hargrave, OTR/L, MOT, OTD
- Jill Lynn Henrikson
- Henry Ford Health River District Hospital
- Henry Ford Health River District Hospital (Henry Ford River District Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.