Individual provider Active NPI

Brandy Michelle M Powers, OTRL

  • Human Factors Occupational Therapist
  • White Lake, MI
National Provider Identifier
1710618525
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Occupational TherapistTaxonomy code 225XH1300X
License
5201010778 Issued in MI
Practice address
5931 Pheasant Run
White Lake, MI 48383-1075
Phone
(248) 421-5113
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1300X 5201010778 MI Primary

Addresses

Primary practice location

5931 Pheasant Run
White Lake, MI 48383-1075

Mailing address

5931 Pheasant Run
White Lake, MI 48383-1075
Phone (248) 421-5113

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
5201010778MIMDHuman Factors Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1710618525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 PHEASANT RUN",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831075",
            "telephone_number": "248-421-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 PHEASANT RUN",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831075",
            "telephone_number": "248-421-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "M POWERS",
        "first_name": "BRANDY",
        "middle_name": "MICHELLE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Human Factors",
            "state": "MI",
            "license": "5201010778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.