Outside OT L.L.C.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

OUTSIDE OT L.L.C.

Practice address

63999 Indian TRL
Ray, MI 48096-2516

Phone

(313) 438-8816

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Gordon, OTR/LNPI 1154834604

Title

Owner and Occupational Therapist

Phone

(313) 438-8816

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Gordon, OTRL

  • Occupational Therapist
  • Ann Arbor, MI
  • NPI 1154834604
  NPD Authorized official

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1649878588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63999 INDIAN TRL",
            "city": "RAY",
            "state": "MI",
            "postal_code": "480962516",
            "telephone_number": "313-438-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63999 INDIAN TRL",
            "city": "RAY",
            "state": "MI",
            "postal_code": "480962516",
            "telephone_number": "313-438-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33662 James J Pompo Dr",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480263466",
            "country_code": "US",
            "telephone_number": "313-438-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTSIDE OT L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER AND OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "313-438-8816",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIONAL",
            "identifier": "000000000",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ElectronicMedicalRecords",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Medical Records",
            "address_1": "33662 James J Pompo Dr",
            "city": "Fraser",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480263466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CW Enterprises LLC (The Center For Counseling)
• Janet Lynn Haley, IBCLC
• Marilyn Pelletier Madajczyk, FNP-BC
• Terra Marie Matthews, AU.D
• James L Murphy, RPT
• Sarah Albers MD PLLC
• Mariea Elena Seefried
• Gloria Jean Stevens
• Nichole-Danielle Visnick, LPCC
• Arleathia Carol Wilson, RN

• Occupational Therapist in Ray, MI
• Providers in Ray, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.