NPIMap

Organization Active NPI

O.T. Inc

  • Developmental Disabilities Clinic/Center
  • Flushing, MI
National Provider Identifier
1659536167
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
5201003930 Issued in MI
Legal business name
O.T. INC
Practice address
2180 Western Meadows Dr
Flushing, MI 48433-9447
Phone
(810) 487-1526
Fax
(810) 487-1529
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Ms. Jennifer Sopka, OTRNPI 1134410889
Title
President
Phone
(810) 730-0783

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)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 5201003930 MI Primary

Addresses

Primary practice location

2180 Western Meadows Dr
Flushing, MI 48433-9447

Mailing address

2180 Western Meadows Dr
Flushing, MI 48433-9447
Phone (810) 487-1526

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1659536167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 WESTERN MEADOWS DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339447",
            "telephone_number": "810-487-1526",
            "fax_number": "810-487-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 WESTERN MEADOWS DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339447",
            "telephone_number": "810-487-1526",
            "fax_number": "810-487-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.T. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "SOPKA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-730-0783",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MI",
            "license": "5201003930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.