Active NPI
Alyssa Cullen
- Occupational Therapist
- Grosse Pointe Woods, MI
National Provider Identifier
1366920365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009137
- Practice address
- 900 Cook Rd
Grosse Pointe Woods, MI 48236-2739 - Phone
- (313) 885-5005
- NPI assigned
- Aug 1, 2018
- 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 Therapist | 225X00000X | 5201009137 | MI | Primary |
Addresses
Primary practice location
900 Cook Rd
Grosse Pointe Woods, MI 48236-2739
Mailing address
22318 Cedar St
Saint Clair Shores, MI 48081-2066
Phone (248) 977-0128
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 |
|---|---|---|---|
| 5201009137 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1366920365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22318 CEDAR ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812066",
"telephone_number": "248-977-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COOK RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482362739",
"telephone_number": "313-885-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "ALYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.