Individual provider Active NPI

Jane Resutek, OTRL

  • Occupational Therapist
  • Shelby TWP, MI
National Provider Identifier
1518285774
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201001843 Issued in MI
Practice address
14145 Simone Dr
Shelby TWP, MI 48315-3228
Phone
(586) 566-6280
NPI assigned
May 12, 2010
Last updated
May 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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 5201001843 MI Primary

Addresses

Primary practice location

14145 Simone Dr
Shelby TWP, MI 48315-3228

Mailing address

14145 Simone Dr
Shelby TWP, MI 48315-3228
Phone (586) 566-6280

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

LicenseStateTypeSpecialty
5201001843MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Developing Connections, Inc. PastSince May 3, 2012 Accepting new patients
Developing Connections Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1518285774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14145 SIMONE DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153228",
            "telephone_number": "586-566-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14145 SIMONE DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153228",
            "telephone_number": "586-566-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESUTEK",
        "first_name": "JANE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.