Jade Rhiannon Santiago, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

L706111 Issued in MI

Practice address

210 Town Center Dr
Troy, MI 48084-1774

Phone

(248) 643-8900

Fax

(248) 740-3505

NPI assigned

Sep 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1588032643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 SUPERIOR BLVD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925030",
            "telephone_number": "734-818-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TOWN CENTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841774",
            "telephone_number": "248-643-8900",
            "fax_number": "248-740-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JADE",
        "middle_name": "RHIANNON",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "L706111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sanna
• Sano Womens Health PC
• Christina Jaclyn Santa Maria, LMSW
• Laverne Santangelo, LLPC
• Destini Santiago, RN
• Santosh Rastogi MD PC
• Shelley L. Sapick, MD
• Sapling Counseling PLLC
• Sarah Elswick, MD, PLLC
• Sarah Watson PLLC

• Occupational Therapy Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.