Christine Wixtrom, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201000846 Issued in MI

Practice address

5211 Marsh Rd
Okemos Health and Rehabilitation Center
Okemos, MI 48864

Phone

(517) 329-1383

Fax

(517) 318-0258

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1396175972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 MARSH RD",
            "address_2": "OKEMOS HEALTH AND REHABILITATION CENTER",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-329-1383",
            "fax_number": "517-318-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 MARSH RD",
            "address_2": "OKEMOS HEALTH AND REHABILITATION CENTER",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-329-1383",
            "fax_number": "517-318-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXTROM",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Okemos, MI
• Providers in Okemos, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.