Individual provider Active NPI

Ryan Seyburn

  • Occupational Therapist
  • Southfield, MI
National Provider Identifier
1710330170
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009011 Issued in MI
Practice address
25811 W 12 Mile Rd Ste 207
Southfield, MI 48034-1896
Phone
(248) 752-4346
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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 5201009011 MI Primary

Addresses

Primary practice location

25811 W 12 Mile Rd Ste 207
Southfield, MI 48034-1896

Mailing address

25811 W 12 Mile Rd Ste 207
Southfield, MI 48034-1896
Phone (248) 752-4346

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
5201009011MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
We Rock Care Current Accepting new patients
Focus Point Therapy, LLC Occupational Therapist PastSince Mar 1, 2016 Accepting new patients

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1710330170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25811 W 12 MILE RD STE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341896",
            "telephone_number": "248-752-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25811 W 12 MILE RD STE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341896",
            "telephone_number": "248-752-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYBURN",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.