Active NPI
James Michael Vugteveen, MS,OTR/L
- Pediatric Occupational Therapist
- Zeeland, MI
National Provider Identifier
1669721031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5201005965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201005965 | MI | MD | Pediatric 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.