Individual provider Active NPI

Emily Byl, OTR/L

  • Occupational Therapist
  • Wyoming, MI
National Provider Identifier
1619424579
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009456 Issued in MI
Practice address
2786 56TH St SW
Wyoming, MI 49418-8708
Phone
(616) 261-3960
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170227001950 TX Practitioner - Occupational Therapist in Private Practice 5890079495 Reassigns benefits to 1 organization
I20201221002109 AK Practitioner - Occupational Therapist in Private Practice 5890079495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201009456MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Haven LLC Occupational Therapist CurrentSince Aug 1, 2021 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Nov 14, 2016 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.

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.

Verify at the official NPI Registry.