Cassandra L Whiteaker, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007743 Issued in MI

Practice address

42804 Garfield Rd
Clinton TWP, MI 48038-1656

Phone

(586) 323-2957

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Outcomes Management,LLCGroup PAC ID 1355602426, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Behavioral Outcomes Management,LLC

  • Community/Behavioral Health Agency
  • Troy, MI
  • NPI 1184139131

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Crawl Walk Jump Run Therapy Clinic

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
  • NPI 1720488620
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1477989317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42804 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381656",
            "telephone_number": "586-323-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42804 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381656",
            "telephone_number": "586-323-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEAKER",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Welling, APRN, B.C.
• Wellness Centre LLC
• Madison Wendt
• Jacquette Whitaker, LPN
• Chad White, MD
• Kaitlyn Danielle Whitmore
• Leeann Wickens, P.A.
• Anthony Wiederhold
• Marianne Wiegmann, RPH
• Jena Mary Wielgosz, CCC-SLP

• Occupational Therapist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.