Individual provider Active NPI

Emelia Elizabeth Zandier, OTD, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1467210666
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17079 Issued in NC
Practice address
1739 44TH St SE
Grand Rapids, MI 49508-5003
Phone
(616) 402-6997
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17079 NC Primary
Pediatric Occupational Therapist 225XP0200X

Addresses

Primary practice location

1739 44TH St SE
Grand Rapids, MI 49508-5003

Mailing address

940 Monroe Ave NW Unit 435
Grand Rapids, MI 49503-1464
Phone (412) 316-6996

Other practice location 1

8420 University Exec Park Dr Ste 825
Charlotte, NC 28262-1346
Phone (704) 752-1616

Other practice location 2

320 State Rd 2451
#9
Huntersville, NC 28078
Phone (704) 752-1616

Other practice location 3

17216 Van Wagoner Rd
Spring Lake, MI 49456-8705
Phone (616) 402-6997

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Floortime LLC Occupational Therapist CurrentSince Sep 29, 2024 Accepting new patients

Locations

17216 Van Wagoner Rd
Spring Lake, MI 49456
Phone (231) 740-7812

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1467210666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MONROE AVE NW UNIT 435",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031464",
            "telephone_number": "412-316-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 44TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085003",
            "telephone_number": "616-402-6997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8420 University Exec Park Dr Ste 825",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621346",
            "country_code": "US",
            "telephone_number": "704-752-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 State Rd 2451",
            "address_2": "#9",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "704-752-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17216 Van Wagoner Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "MI",
            "postal_code": "494568705",
            "country_code": "US",
            "telephone_number": "616-402-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANDIER",
        "first_name": "EMELIA",
        "middle_name": "ELIZABETH",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17079",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.