Individual provider Active NPI

Mary Spyhalski, OTR/L

  • Occupational Therapist
  • Farmington Hills, MI
National Provider Identifier
1649801366
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014130 Issued in MI
Practice address
21017 Middlebelt Rd
Farmington Hills, MI 48336
Phone
(248) 476-8300
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20643 FL
Occupational Therapist 225X00000X 5201014130 MI Primary

Addresses

Primary practice location

21017 Middlebelt Rd
Farmington Hills, MI 48336

Mailing address

258 Patriot St
Canton, MI 48188-6717

Other practice location 1

1524 S East Ave
Sarasota, FL 34239-2324
Phone (941) 365-2422

Other practice location 2

1902 59th St W
Bradenton, FL 34209-4602
Phone (941) 761-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20643FLMDOccupational Therapist
5201014130MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1649801366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 PATRIOT ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21017 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48336",
            "telephone_number": "248-476-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 S East Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392324",
            "country_code": "US",
            "telephone_number": "941-365-2422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 59th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342094602",
            "country_code": "US",
            "telephone_number": "941-761-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPYHALSKI",
        "first_name": "MARY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20643",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.