Individual provider Active NPI

Molly Rae Varon, OTR/L

  • Occupational Therapist
  • West Bloomfield, MI
National Provider Identifier
1497195507
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008814 Issued in MI
Practice address
33200 W 14 Mile Rd
Ste 160
West Bloomfield, MI 48322-3563
Phone
(248) 538-7607
Fax
(248) 538-7623
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 5201008814 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd
Ste 160
West Bloomfield, MI 48322-3563

Mailing address

210 Town Center Dr
Troy, MI 48084-1774
Phone (248) 643-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116000941 MI Practitioner - Occupational Therapist in Private Practice 4880948413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Wayne State University School of Medicine, 2014
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)

210 Town Ctr Dr
Troy, MI 48084-1774
Phone (248) 643-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201008814MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Outcomes Management,LLC Occupational Therapist CurrentSince Apr 15, 2014 Accepting new patients
Dearborn Physical Therapy LTD. Past Accepting new patients
Dearborn Physical Therapy LTD. Past Accepting new patients

Locations

210 Town Center Dr
Troy, MI 48084
Phone (248) 643-8900

Organizations & group practices 3

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1497195507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TOWN CENTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841774",
            "telephone_number": "248-643-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-538-7607",
            "fax_number": "248-538-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARON",
        "first_name": "MOLLY",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.