Active NPI
Carol Ann Sherwood, PTA, COTAL
- Occupational Therapy Assistant
- Clinton TWP, MI
National Provider Identifier
1356675649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5202006809
- Practice address
- 35746 Harper Ave
Clinton TWP, MI 48035-3212 - Phone
- (586) 791-9203
- Fax
- (586) 791-9204
- NPI assigned
- Sep 20, 2009
- 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 Therapy Assistant | 224Z00000X | 5202006809 | MI | Primary |
Addresses
Primary practice location
35746 Harper Ave
Clinton TWP, MI 48035-3212
Mailing address
1243 Crystal Pointe Cir
Fenton, MI 48430-2067
Phone (810) 714-0683
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 |
|---|---|---|---|
| 5202006809 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253404800000",
"number": "1356675649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 CRYSTAL POINTE CIR",
"city": "FENTON",
"state": "MI",
"postal_code": "484302067",
"telephone_number": "810-714-0683",
"fax_number": "810-714-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35746 HARPER AVE",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480353212",
"telephone_number": "586-791-9203",
"fax_number": "586-791-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "PTA, COTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-20",
"last_updated": "2009-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202006809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.