Active NPI
Carmen Bendrey
- Occupational Therapy Assistant
- Holland, MI
National Provider Identifier
1386073401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5202004021
- Practice address
- 1221 E 16TH St
Holland, MI 49423-9127 - Phone
- (616) 396-7095
- NPI assigned
- Nov 8, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202004021 | MI | Primary |
Addresses
Primary practice location
1221 E 16TH St
Holland, MI 49423-9127
Mailing address
4888 164TH Ave
West Olive, MI 49460-9588
Phone (616) 738-1552
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 |
|---|---|---|---|
| 5202004021 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1386073401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4888 164TH AVE",
"city": "WEST OLIVE",
"state": "MI",
"postal_code": "494609588",
"telephone_number": "616-738-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E 16TH ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494239127",
"telephone_number": "616-396-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDREY",
"first_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202004021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.