Individual provider Active NPI

Sharon R Persons, OT

  • Occupational Therapist
  • Davison, MI
National Provider Identifier
1609140748
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002130 Issued in MI
Practice address
815 S State Rd Ste a
Davison, MI 48423-1751
Phone
(810) 652-6178
Fax
(810) 652-6181
NPI assigned
Mar 7, 2012
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002130 MI Primary
Hand Occupational Therapist 225XH1200X 5201002130 MI

Addresses

Primary practice location

815 S State Rd Ste a
Davison, MI 48423-1751

Mailing address

4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000849 MI Practitioner - Occupational Therapist in Private Practice 2769643188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17015 Silver Pkwy
Fenton, MI 48430-3425
Phone (810) 593-0023

Merit-based Incentive Payment System (MIPS)

Final score
68.79 of 100Reported as group
Quality
20.79
Promoting interoperability
94
Improvement activities
40
Cost
80.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201002130MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Orthopedic Associates P L C Occupational Therapist Current Accepting new patients
Family Orthopedic Associates P L C Occupational Therapist CurrentSince Mar 9, 2012 Accepting new patients
Family Orthopedic Associates P L C Occupational Therapist CurrentSince Mar 9, 2012 Accepting new patients

Locations

815 S State Rd
#A
Davison, MI 48423
Phone (810) 652-6178

17015 Silver Pkwy
Fenton, MI 48430
Phone (810) 593-0023

4466 W Bristol Rd
Flint, MI 48507
Phone (810) 733-1200

1537 E Hill Rd
Ste 400
Grand Blanc, MI 48439
Phone (810) 333-7309

307 S Court St
Lapeer, MI 48446
Phone (810) 538-0600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1609140748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S STATE RD STE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231751",
            "telephone_number": "810-652-6178",
            "fax_number": "810-652-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSONS",
        "first_name": "SHARON",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002130",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201002130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.