Individual provider Active NPI

James Michael Vugteveen, MS,OTR/L

  • Pediatric Occupational Therapist
  • Zeeland, MI
National Provider Identifier
1669721031
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201005965 Issued in MI
Practice address
10263 Chicago Dr
Zeeland, MI 49464-1416
Phone
(616) 822-1117
NPI assigned
Aug 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201005965 MI Primary

Addresses

Primary practice location

10263 Chicago Dr
Zeeland, MI 49464-1416

Mailing address

3900 Riverbend Dr SW
Grand Rapids, MI 49534-6611
Phone (616) 822-1117

Other practice location 1

1331 Lake Dr. SE
Grand Rapids, MI 49506-1674
Phone (616) 447-7799

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5201005965MIMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1669721031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 RIVERBEND DR SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495346611",
            "telephone_number": "616-822-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10263 CHICAGO DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641416",
            "telephone_number": "616-822-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 Lake Dr. SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495061674",
            "country_code": "US",
            "telephone_number": "616-447-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUGTEVEEN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201005965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.