Active NPI
Rheagan Erica Anderson, MS, OTL
- Occupational Therapist
- Charlotte, MI
National Provider Identifier
1700990876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201006947
- Practice address
- 530 Beech St
Charlotte, MI 48813-1016 - Phone
- (517) 543-2940
- NPI assigned
- Aug 18, 2006
- Last updated
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201006947 | MI | Primary |
Addresses
Primary practice location
530 Beech St
Charlotte, MI 48813-1016
Mailing address
1861 S Bradley Rd
Charlotte, MI 48813-8501
Phone (517) 449-6645
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 |
|---|---|---|---|
| 5201006947 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Rehab Company PC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1700990876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 S BRADLEY RD",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488138501",
"telephone_number": "517-449-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 BEECH ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131016",
"telephone_number": "517-543-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RHEAGAN",
"middle_name": "ERICA",
"name_prefix": "Mrs.",
"credential": "MS, OTL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.