NPIMap

Organization Active NPI

Mi Floortime LLC

  • Occupational Therapist
  • Spring Lake, MI
National Provider Identifier
1689491607
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MI FLOORTIME LLC
Practice address
17216 Van Wagoner Rd
Spring Lake, MI 49456-8705
Phone
(616) 402-6997
Fax
(616) 499-4968
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Kaylie Stearns, OTR/LNPI 1164720405
Title
Owner
Phone
(616) 402-6997

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

17216 Van Wagoner Rd
Spring Lake, MI 49456-8705

Mailing address

533 Woodlawn Ave
Grand Haven, MI 49417-2139
Phone (616) 402-6997

National Provider Directory

National Provider Directory

Locations

17216 Van Wagoner Rd
Spring Lake, MI 49456
Phone (231) 740-7812

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1689491607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 WOODLAWN AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172139",
            "telephone_number": "616-402-6997",
            "fax_number": "616-499-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17216 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494568705",
            "telephone_number": "616-402-6997",
            "fax_number": "616-499-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI FLOORTIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "KAYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-402-6997",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.