Jennifer Walters, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201004305 Issued in MI

Practice address

42431 Roberta St
Plymouth, MI 48170-4834

Phone

(734) 717-8315

NPI assigned

May 27, 2010

Last updated

May 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Buchanan Former name

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1518286608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42431 ROBERTA ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704834",
            "telephone_number": "734-717-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42431 ROBERTA ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704834",
            "telephone_number": "734-717-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUCHANAN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curtis Walls
• Jasmine Walls
• Jean Marie Walsh, SLP-CCC
• Joselyn Walsworth
• Abbie Marie Walters, MSW
• Kendall Walters
• Gerald Walther
• Malyssa Walton
• Chloe Wandell
• Laura Staffing Wandell

• Occupational Therapist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.