Royal Oak Pediatric Therapies, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ROYAL OAK PEDIATRIC THERAPIES, LLC

Practice address

419 W Bloomfield Ave
Royal Oak, MI 48073-2567

Phone

(734) 972-1292

NPI assigned

Oct 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Adam Russell Hall

Title

General Manager

Phone

(734) 972-1292

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Seidman, OTR/L

  • Occupational Therapist
  • Chicago, IL
  • NPI 1770901522
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1548712243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W BLOOMFIELD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732567",
            "telephone_number": "734-972-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W BLOOMFIELD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732567",
            "telephone_number": "734-972-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "734-972-1292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Oak Medical Center PC
• Royal Oak Medical Center PC
• Royal Oak Medical Center PC
• Royal Oak Medical Center, P.C.
• Royal Oak Optical PLLC (Fashion Eyeglass)
• Royal Oak Surgical Center, LLC
• Royal Smiles PLLC
• Royal Urgent Care, PLLC
• Royale Pharmacy Inc.
• Michael Stephen Rozwadowski, MD

• Occupational Therapist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.