Active NPI
Emily Byl, OTR/L
- Occupational Therapist
- Wyoming, MI
National Provider Identifier
1619424579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009456
- Practice address
- 2786 56TH St SW
Wyoming, MI 49418-8708 - Phone
- (616) 261-3960
- NPI assigned
- Sep 7, 2016
- Last updated
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201009456 | MI | Primary |
Addresses
Primary practice location
2786 56TH St SW
Wyoming, MI 49418-8708
Mailing address
1032 Maryland Ave NE
Grand Rapids, MI 49505-5912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009456 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Haven LLC | Occupational Therapist | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Programs for Infants & Children, Inc | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
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.
-
- Occupational Therapist
- Anchorage, AK
- NPI 1407450851
-
- Pediatric Occupational Therapist
- Anchorage, AK
- NPI 1164571238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1619424579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 MARYLAND AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495055912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2786 56TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "494188708",
"telephone_number": "616-261-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYL",
"first_name": "EMILY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.