Active NPI
Allison Dama Affandy
- Occupational Therapist
- Okemos, MI
National Provider Identifier
1477029494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010178
- Practice address
- 2378 Woodlake Dr Ste 280
Okemos, MI 48864-6016 - Phone
- (517) 256-9370
- NPI assigned
- Oct 17, 2018
- 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 | 5201010178 | MI | Primary |
Addresses
Primary practice location
2378 Woodlake Dr Ste 280
Okemos, MI 48864-6016
Mailing address
2210 Northwest Ave
Lansing, MI 48906-3654
Phone (517) 256-9370
Other names 1
- Allison Anne Dama
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201010178 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1477029494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 NORTHWEST AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489063654",
"telephone_number": "517-256-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2378 WOODLAKE DR STE 280",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646016",
"telephone_number": "517-256-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFFANDY",
"first_name": "ALLISON",
"middle_name": "DAMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "DAMA",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.