Active NPI
Jordan Selinger
- Occupational Therapist
- Macomb, MI
National Provider Identifier
1457895450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009703
- Practice address
- 52503 Stafford Dr
Macomb, MI 48042-3816 - Phone
- (586) 430-1333
- NPI assigned
- Dec 9, 2016
- Last updated
- Feb 19, 2024
- 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 Therapist | 225X00000X | 5201009703 | MI | Primary |
Addresses
Primary practice location
52503 Stafford Dr
Macomb, MI 48042-3816
Mailing address
52503 Stafford Dr
Macomb, MI 48042-3816
Other practice location 1
131 University Dr
Pontiac, MI 48342-2369
Phone (248) 841-4559
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jselinger807669@direct.hfhs.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1457895450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52503 STAFFORD DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480423816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52503 STAFFORD DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480423816",
"telephone_number": "586-430-1333"
}
],
"practiceLocations": [
{
"address_1": "131 University Dr",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483422369",
"country_code": "US",
"telephone_number": "248-841-4559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELINGER",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-09",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009703",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jselinger807669@direct.hfhs.org",
"affiliation": "N",
"address_1": "6777 W Maple Rd",
"city": "West Bloomfield",
"state": "MI",
"country_code": "US",
"postal_code": "483223013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Macomb, MI
- SCL Home Care LLC
- Isabella Scofield, MD
- SDJV, Inc. (Mothers N Babies)
- SE Craig DC PC
- Corie Louise Seelbach
- Semlow Chiropractic Clinic
- Kent Lee Semlow, DC
- Serenity Angels Home Services LLC
- Seton Health Corporation of Southeastern Michigan (Macomb Sleep Institute)
- Seton Health Corporation of Southeastern Michigan (Seton Medical Group Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.