Active NPI
Megan Doornbos
- Occupational Therapist
- Norton Shores, MI
National Provider Identifier
1366064776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201013169
- Practice address
- 6425 Harvey St
Norton Shores, MI 49444-9739 - Phone
- (231) 798-4866
- NPI assigned
- May 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Occupational Therapist | 225X00000X | 5201013169 | MI | Primary |
Addresses
Primary practice location
6425 Harvey St
Norton Shores, MI 49444-9739
Mailing address
6425 Harvey St
Norton Shores, MI 49444-9739
Phone (231) 798-4866
Other practice location 1
3290 N Wellness Dr Ste 150
Holland, MI 49424-8047
Phone (616) 294-4066
Other names 1
- Megan Seromik
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Network - Rehabilitation Services | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Rapids, MI
- NPI 1528043544
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1366064776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 HARVEY ST",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494449739",
"telephone_number": "231-798-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 HARVEY ST",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494449739",
"telephone_number": "231-798-4866"
}
],
"practiceLocations": [
{
"address_1": "3290 N Wellness Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494248047",
"country_code": "US",
"telephone_number": "616-294-4066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOORNBOS",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201013169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "SEROMIK",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.