Active NPI
Caylie Hosey, CTRS
- Recreation Therapist
- Shelby TWP, MI
National Provider Identifier
1538708680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 82716
- Practice address
- 54749 Flamingo Dr
Shelby TWP, MI 48315-1347 - Phone
- (586) 441-0200
- NPI assigned
- Jan 6, 2020
- Last updated
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 82716 | MI | MD | Recreation 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.