Individual provider Active NPI

Reza Saffarian, OTR

  • Occupational Therapist
  • Rochester Hills, MI
National Provider Identifier
1447747472
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004373 Issued in MI
Practice address
252 Meadowfield Dr
Rochester Hills, MI 48307-3058
Phone
(248) 218-4800
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201004373 MI Primary

Addresses

Primary practice location

252 Meadowfield Dr
Rochester Hills, MI 48307-3058

Mailing address

252 Meadowfield Dr
Rochester Hills, MI 48307-3058
Phone (248) 218-4800

Other identifiers 1

IdentifierTypeStateIssuer
5201004373MedicaidMI

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
5201004373MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1447747472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MEADOWFIELD DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073058",
            "telephone_number": "248-218-4800",
            "fax_number": "248-608-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MEADOWFIELD DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073058",
            "telephone_number": "248-218-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFARIAN",
        "first_name": "REZA",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5201004373",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.