Inner Connections LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

INNER CONNECTIONS LLC

Practice address

6400 Farmington Rd
Ste 114
West Bloomfield, MI 48322-4454

Phone

(248) 318-6654

Fax

(248) 562-3031

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Michelle Mintz, OTR/L

Title

Owner

Phone

(248) 318-6654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1518397348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FARMINGTON RD",
            "address_2": "STE 114",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224454",
            "telephone_number": "248-318-6654",
            "fax_number": "248-562-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FARMINGTON RD",
            "address_2": "STE 114",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224454",
            "telephone_number": "248-318-6654",
            "fax_number": "248-562-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-318-6654",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.