Active NPI
Mary Spyhalski, OTR/L
- Occupational Therapist
- Farmington Hills, MI
National Provider Identifier
1649801366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201014130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20643 | FL | MD | Occupational Therapist |
| 5201014130 | MI | MD | Occupational 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.