Active NPI
Aida Olvera-Dyckes, PT
- Occupational Therapist
- Plymouth, MI
National Provider Identifier
1346782950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005712
- Practice address
- 9368 N Lilley Rd
Plymouth, MI 48170-4610 - Phone
- (734) 416-3900
- Fax
- (734) 416-3903
- NPI assigned
- Nov 14, 2016
- 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 | 5201005712 | MI | Primary |
Addresses
Primary practice location
9368 N Lilley Rd
Plymouth, MI 48170-4610
Mailing address
9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (734) 416-3900
Other names 1
- Aida Olvera
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1346782950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9368 N LILLEY RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704610",
"telephone_number": "734-416-3900",
"fax_number": "734-416-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9368 N LILLEY RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704610",
"telephone_number": "734-416-3900",
"fax_number": "734-416-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLVERA-DYCKES",
"first_name": "AIDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AIDA",
"last_name": "OLVERA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.