Active NPI
Jamie Buck
- Occupational Therapist
- Livonia, MI
National Provider Identifier
1366869059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60441849
- Practice address
- 32926 Brookside Cir
Livonia, MI 48152-1419 - Phone
- (248) 444-6287
- NPI assigned
- Mar 19, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008361 | MI | |
| Occupational Therapist | 225X00000X | OT60441849 | WA | Primary |
| Occupational Therapist | 225X00000X | OT1335 | HI |
Addresses
Primary practice location
32926 Brookside Cir
Livonia, MI 48152-1419
Mailing address
32926 Brookside Cir
Livonia, MI 48152-1419
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 |
|---|---|---|---|
| OT1335 | HI | MD | Occupational Therapist |
| 5201008361 | MI | MD | Occupational Therapist |
| OT60441849 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1366869059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32926 BROOKSIDE CIR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32926 BROOKSIDE CIR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521419",
"telephone_number": "248-444-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008361",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60441849",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "OT1335",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.