Individual provider Active NPI

Marilyn J Helmers, OTR

  • Gerontology Occupational Therapist
  • Allendale, MI
National Provider Identifier
1396230181
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
5201002150 Issued in MI
Practice address
11007 Radcliff Dr
Allendale, MI 49401
Phone
(616) 895-6688
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 5201002150 MI Primary

Addresses

Primary practice location

11007 Radcliff Dr
Allendale, MI 49401

Mailing address

3908 Ravines Dr
Allendale, MI 49401-9213
Phone (616) 889-5899

Other practice location 1

320 E Central Ave
Zeeland, MI 49464-1706
Phone (616) 531-4999

Other practice location 2

2053 S Sheridan Dr
Muskegon, MI 49442-6254
Phone (616) 531-4999

Other practice location 3

701 E Main St
Hart, MI 49420-1168
Phone (231) 873-6600

Other practice location 4

1300 W Broadway Ave
Muskegon, MI 49441-3530
Phone (616) 531-4999

Other practice location 5

695 Mitzi St
Muskegon, MI 49445-3232
Phone (616) 531-4999

Other practice location 6

415 Friant St
Grand Haven, MI 49417-2311
Phone (616) 842-4120

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

LicenseStateTypeSpecialty
5201002150MIMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1396230181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 RAVINES DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019213",
            "telephone_number": "616-889-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11007 RADCLIFF DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "49401",
            "telephone_number": "616-895-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Zeeland",
            "state": "MI",
            "postal_code": "494641706",
            "country_code": "US",
            "telephone_number": "616-531-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2053 S Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494426254",
            "country_code": "US",
            "telephone_number": "616-531-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hart",
            "state": "MI",
            "postal_code": "494201168",
            "country_code": "US",
            "telephone_number": "231-873-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494413530",
            "country_code": "US",
            "telephone_number": "616-531-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 Mitzi St",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494453232",
            "country_code": "US",
            "telephone_number": "616-531-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Friant St",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172311",
            "country_code": "US",
            "telephone_number": "616-842-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMERS",
        "first_name": "MARILYN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MI",
            "license": "5201002150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.