Individual provider Active NPI

Tess Elizabeth Carolan, OTR/L

  • Occupational Therapist
  • Shelby Township, MI
National Provider Identifier
1699360016
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201011165 Issued in MI
Practice address
13019 Pauline Dr
Shelby Township, MI 48315-3122
Phone
(586) 207-9255
Fax
(248) 403-8506
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201011165 MI Primary

Addresses

Primary practice location

13019 Pauline Dr
Shelby Township, MI 48315-3122

Mailing address

13019 Pauline Dr
Shelby Township, MI 48315-3122
Phone (586) 207-9255

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

Practice roles

OrganizationSpecialtyStatusNew patients
Voice and Motion Therapy LLC. CurrentSince Jun 1, 2024 Accepting new patients
Healing Haven Ancillary Services, LLC Past Accepting new patients

Locations

13019 Pauline Dr
Shelby Township, MI 48315
Phone (586) 207-9255

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1699360016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13019 PAULINE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153122",
            "telephone_number": "586-207-9255",
            "fax_number": "248-403-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13019 PAULINE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153122",
            "telephone_number": "586-207-9255",
            "fax_number": "248-403-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLAN",
        "first_name": "TESS",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.