Individual provider Active NPI

Jean Carey Remillet, OT

  • Neurorehabilitation Occupational Therapist
  • Detroit, MI
National Provider Identifier
1669965075
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
5201001328 Issued in MI
Practice address
261 Mack Ave
Detroit, MI 48201-2417
Phone
(313) 966-8309
Fax
(313) 745-1174
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XN1300X 5201001328 MI Primary

Addresses

Primary practice location

261 Mack Ave
Detroit, MI 48201-2417

Mailing address

891 Lincoln Rd
Grosse Pointe, MI 48230-1289
Phone (313) 404-0886

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201001328MIMDNeurorehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1669965075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 LINCOLN RD",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301289",
            "telephone_number": "313-404-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012417",
            "telephone_number": "313-966-8309",
            "fax_number": "313-745-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMILLET",
        "first_name": "JEAN",
        "middle_name": "CAREY",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201001328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.