Individual provider Active NPI

Carol Ann Sherwood, PTA, COTAL

  • Occupational Therapy Assistant
  • Clinton TWP, MI
National Provider Identifier
1356675649
Registry record updated Sep 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202006809 Issued in MI
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

Updated by the provider on Sep 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5202006809MIMDOccupational 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.

Verify at the official NPI Registry.