NPIMap

Organization Active NPI

Willow Integrated Therapy

  • Pediatric Occupational Therapist
  • Ann Arbor, MI
National Provider Identifier
1609429323
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
WILLOW INTEGRATED THERAPY
Practice address
4121 Jackson Rd
Ann Arbor, MI 48103-1827
Phone
(734) 263-2493
Fax
(734) 661-0401
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Michelle Marie Phibbs, OTR/LNPI 1932409679
Title
Occupational Therapist, Owner
Phone
(734) 883-5334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

4121 Jackson Rd
Ann Arbor, MI 48103-1827

Mailing address

4121 Jackson Rd
Ann Arbor, MI 48103-1827
Phone (734) 263-2493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205002251 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032523881 Receives reassigned benefits from 6 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

4121 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 263-2493

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1609429323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031827",
            "telephone_number": "734-263-2493",
            "fax_number": "734-661-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 JACKSON RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031827",
            "telephone_number": "734-263-2493",
            "fax_number": "734-661-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW INTEGRATED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "PHIBBS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "734-883-5334",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.