Individual provider Active NPI

Jennifer Phillips, OT

  • Occupational Therapist
  • Waterford, MI
National Provider Identifier
1376674549
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007143 Issued in MI
Practice address
5798 Highland Rd
Waterford, MI 48327-1826
Phone
(248) 724-4400
Fax
(248) 724-4405
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X L994738 MI
Occupational Therapist 225X00000X 5201007143 MI Primary

Addresses

Primary practice location

5798 Highland Rd
Waterford, MI 48327-1826

Mailing address

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000073 MI Practitioner - Occupational Therapist in Private Practice 7517063811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Hand and Rehabilitation LLCGroup PAC ID 4183914047, 12 clinicians

Practice addresses (Care Compare)

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L994738MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hand & Rehabilitation, LLC Occupational Therapist CurrentSince Jul 11, 2016 Accepting new patients
Comprehensive Hand & Rehabilitation, LLC CurrentSince Jul 11, 2016 Accepting new patients
William Sterling Margaret LLC Past Accepting new patients

Locations

1910 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 218-5150

5798 Highland Rd
Waterford, MI 48327
Phone (248) 724-4400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1376674549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5798 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271826",
            "telephone_number": "248-724-4400",
            "fax_number": "248-724-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271826",
            "telephone_number": "248-724-4400",
            "fax_number": "248-724-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JENNIFER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "L994738",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.