Individual provider Active NPI

Paris Wellman, OT

  • Occupational Therapist
  • Holland, OH
National Provider Identifier
1639702103
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1225 Corporate Dr Ste B
Holland, OH 43528-7701
Phone
(419) 866-0555
Fax
(419) 866-0556
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 Primary

Addresses

Primary practice location

1225 Corporate Dr Ste B
Holland, OH 43528-7701

Mailing address

1225 Corporate Dr Ste B
Holland, OH 43528-7701
Phone (419) 866-0555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213001846 OH Practitioner - Occupational Therapist in Private Practice 0042740557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med1Care Therapy Partners LLCGroup PAC ID 1850779448, 5 clinicians

Practice addresses (Care Compare)

1225 Corporate Dr
Suite B
Holland, OH 43528-7701
Phone (419) 866-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT012526OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Med1Care Therapy Partners LLC CurrentSince Feb 1, 2025 Accepting new patients
Med1Care, LLC PastSince Feb 1, 2025 Accepting new patients

Locations

1225 Corporate Dr
Ste B
Holland, OH 43528
Phone (419) 866-0555

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1639702103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CORPORATE DR STE B",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287701",
            "telephone_number": "419-866-0555",
            "fax_number": "419-866-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CORPORATE DR STE B",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287701",
            "telephone_number": "419-866-0555",
            "fax_number": "419-866-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "PARIS",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.