Andrea Dell, MSOTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008731 Issued in MI

Practice address

7400 Bay Rd
University Center, MI 48710-0001

Phone

(810) 705-0912

NPI assigned

Mar 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  Medicare reassignment NPD
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  • Specialist
  • Livonia, MI
  • NPI 1821042789
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1366868515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 STARR RD",
            "address_2": "APT 224",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732257",
            "telephone_number": "810-705-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BAY RD",
            "city": "UNIVERSITY CENTER",
            "state": "MI",
            "postal_code": "487100001",
            "telephone_number": "810-705-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL",
        "first_name": "ANDREA",
        "credential": "MSOTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Ballard, ED.D.
• David Charles Berry, PHD, ATC
• Gabrielle Ann Cameron
• Madeline Moriah David, MSN, APRN, FNP-BC
• Jacqueline Marie Detrick, M.ED., ATC
• Marco Distefano, AT, ATC
• Megan Frizzell
• Ryan Timothy Gibeau, ATC
• Jeremy Eugene Glaser, MS, ATC

• Occupational Therapist in University Center, MI
• Providers in University Center, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.