Active NPI
Loretta M Thompson, OTR
- Occupational Therapist
- Hersey, MI
National Provider Identifier
1356603849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201004369
- Practice address
- 5044 175TH Ave
Hersey, MI 49639-8468 - Phone
- (231) 832-2234
- NPI assigned
- Jun 12, 2012
- Last updated
- Jul 21, 2022
- 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 | 5201004369 | MI | Primary |
Addresses
Primary practice location
5044 175TH Ave
Hersey, MI 49639-8468
Mailing address
19270 Seneca Ave
Big Rapids, MI 49307-9508
Phone (231) 629-6824
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 |
|---|---|---|---|
| 5201004369 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356603849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19270 SENECA AVE",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079508",
"telephone_number": "231-629-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5044 175TH AVE",
"city": "HERSEY",
"state": "MI",
"postal_code": "496398468",
"telephone_number": "231-832-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LORETTA",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201004369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hersey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.