Active NPI
Megan Aubrey Sellenraad, OTR/L
- Occupational Therapist
- Traverse City, MI
National Provider Identifier
1417064148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007598
- Practice address
- 808 S Garfield Ave
Suite a
Traverse City, MI 49686-3464 - Phone
- (231) 929-2354
- Fax
- (231) 929-2853
- NPI assigned
- Aug 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-007436 | IL | |
| Occupational Therapist | 225X00000X | 5201007598 | MI | Primary |
Addresses
Primary practice location
808 S Garfield Ave
Suite a
Traverse City, MI 49686-3464
Mailing address
8080 N Swede Rd
Northport, MI 49670-9401
Phone (231) 386-7298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2741KD1 | Medicaid | IL |
Other names 1
- Mrs. Megan Aubrey Sellenraad-Hamelin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-007436 | IL | MD | Occupational Therapist |
| 5201007598 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Making Strides LLC | Occupational Therapist | Current | Accepting new patients |
| Easter Seals Dupage and the Fox Valley Region | Occupational Therapist | Past | Accepting new patients |
| Easter Seals Dupage and the Fox Valley Region | Occupational Therapist | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Northport, MI
- NPI 1235834169
-
- Physical Therapist
- Villa Park, IL
- NPI 1194122739
Occupational Therapist
-
- Physical Therapist
- Villa Park, IL
- NPI 1568460681
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1417064148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 N SWEDE RD",
"city": "NORTHPORT",
"state": "MI",
"postal_code": "496709401",
"telephone_number": "231-386-7298",
"fax_number": "231-929-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S GARFIELD AVE",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863464",
"telephone_number": "231-929-2354",
"fax_number": "231-929-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLENRAAD",
"first_name": "MEGAN",
"middle_name": "AUBREY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-007436",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A2741KD1",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "SELLENRAAD-HAMELIN",
"middle_name": "AUBREY",
"prefix": "MRS.",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.