Individual provider Active NPI

Caylie Hosey, CTRS

  • Recreation Therapist
  • Shelby TWP, MI
National Provider Identifier
1538708680
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
82716 Issued in MI
Practice address
54749 Flamingo Dr
Shelby TWP, MI 48315-1347
Phone
(586) 441-0200
NPI assigned
Jan 6, 2020
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 82716 MI Primary

Addresses

Primary practice location

54749 Flamingo Dr
Shelby TWP, MI 48315-1347

Mailing address

39393 Van Dyke Ave Ste 105
Sterling Heights, MI 48313-4636

Other practice location 1

39393 Van Dyke Ave
Sterling Heights, MI 48313-4635
Phone (586) 722-7524

Other practice location 2

39393 Van Dyke Ave Ste 105
Sterling Hts, MI 48313-4636
Phone (586) 722-7524

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL SOAP

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
82716MIMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1538708680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE AVE STE 105",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54749 FLAMINGO DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483151347",
            "telephone_number": "586-441-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39393 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483134635",
            "country_code": "US",
            "telephone_number": "586-722-7524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39393 Van Dyke Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sterling Hts",
            "state": "MI",
            "postal_code": "483134636",
            "country_code": "US",
            "telephone_number": "586-722-7524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSEY",
        "first_name": "CAYLIE",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "82716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "address_1": "39393 Van Dyke Ave",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483134635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 6, 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.