Active NPI
Ethos Pediatric Therapy LLC
- Occupational Therapist
- Plymouth, MI
National Provider Identifier
1629913561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- ETHOS PEDIATRIC THERAPY LLC
- Practice address
- 44191 Plymouth Oaks Blvd Ste 400
Plymouth, MI 48170-6532 - Phone
- (734) 463-3007
- Fax
- (734) 203-0901
- NPI assigned
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley Smith, DPT
- Title
- Director
- Phone
- (734) 463-3007
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
44191 Plymouth Oaks Blvd Ste 400
Plymouth, MI 48170-6532
Mailing address
44191 Plymouth Oaks Blvd Ste 400
Plymouth, MI 48170-6532
Phone (734) 463-3007
National Provider Directory
National Provider DirectoryLocations
44191 Plymouth Oaks Blvd
Ste 400
Plymouth, MI 48170
Phone (734) 259-7103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1902233000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1629913561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44191 PLYMOUTH OAKS BLVD STE 400",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706532",
"telephone_number": "734-463-3007",
"fax_number": "734-203-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44191 PLYMOUTH OAKS BLVD STE 400",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706532",
"telephone_number": "734-463-3007",
"fax_number": "734-203-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETHOS PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "734-463-3007",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.