Active NPI
Jaquita Lovelace
- Occupational Therapist
- Detroit, MI
National Provider Identifier
1720249386
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 18, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201006278
- Practice address
- 7800 W Outer Dr
Detroit, MI 48235-3461 - Phone
- (313) 362-9445
- Fax
- (313) 362-0444
- NPI assigned
- Jun 17, 2008
- 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 | 5201006278 | MI | Primary |
Addresses
Primary practice location
7800 W Outer Dr
Detroit, MI 48235-3461
Mailing address
620 Hawksmoore Dr
Clarkston, MI 48348-3628
Phone (248) 224-9772
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Rehab Services, P.C. | Past | Accepting new patients | |
| United Rehab Services, P.C. | Past | 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.
-
- Physical Therapist
- Detroit, MI
- NPI 1295740611
-
- Physical Therapy Clinic/Center
- Clarkston, MI
- NPI 1568495083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1720249386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 HAWKSMOORE DR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483483628",
"telephone_number": "248-224-9772",
"fax_number": "586-884-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353461",
"telephone_number": "313-362-9445",
"fax_number": "313-362-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "JAQUITA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.