Elizabeth Rose Dorman, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202008533 Issued in MI

Practice address

1222 North Dr
Mount Pleasant, MI 48858-3200

Phone

(989) 772-2957

NPI assigned

Jan 22, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1497385116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ROSSMAN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 NORTH DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583200",
            "telephone_number": "989-772-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lee Turnbull Dodds, BA,LBSW, QMHP, QMRP
• Michael Paul Dodman, MS CCC-S
• Amanda Jayne Dolan, LMSW
• Margaret Donovan
• Heidi Ann Dorenbecker
• Paymon Dorri, D.D.S.
• Brian Doughty, DO
• Natalie Franko Douglas, PHD,CCC-SLP
• Jennifer Dowd, OTRL
• Craig James Downer, D.D.S.

• Occupational Therapy Assistant in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.