Active NPI
Vincent John R Busante
- Occupational Therapist
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201014613
- Practice address
- 1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833 - Phone
- (231) 733-1326
- Fax
- (231) 733-5212
- NPI assigned
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201014613 | MI | Primary |
| Occupational Therapist | 225X00000X | OT007769 | GA |
Addresses
Primary practice location
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Mailing address
9669 Cottontail St Ste 100
West Olive, MI 49460-8506
Phone (757) 515-9110
Other practice location 1
247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Emory University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 Mercy Dr
Muskegon, MI 49444-1819
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6882 | SC | MD | Social Worker |
| OT007769 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
210 E Derenne Ave
Ste B
Savannah, GA 31405
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
Interoperability endpoints
- vincent.busante.1@16403.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1467845404
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1558979591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9669 COTTONTAIL ST STE 100",
"city": "WEST OLIVE",
"state": "MI",
"postal_code": "494608506",
"telephone_number": "757-515-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCY DR STE 100",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441833",
"telephone_number": "231-733-1326",
"fax_number": "231-733-5212"
}
],
"practiceLocations": [
{
"address_1": "247 S Main St",
"address_purpose": "LOCATION",
"city": "Reidsville",
"state": "GA",
"postal_code": "304534605",
"country_code": "US",
"telephone_number": "912-557-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSANTE",
"first_name": "VINCENT JOHN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201014613",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007769",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.