Active NPI
Laura Daulton, OTR/L
- Occupational Therapist
- Troy, MI
National Provider Identifier
1720277015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201011084
- Practice address
- 44201 Dequindre Rd Ste 203
Troy, MI 48085-1117 - Phone
- (248) 964-5000
- Fax
- (219) 322-1414
- NPI assigned
- Oct 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201011084 | MI | Primary |
| Occupational Therapist | 225X00000X | 31004507A | IN |
Addresses
Primary practice location
44201 Dequindre Rd Ste 203
Troy, MI 48085-1117
Mailing address
44201 Dequindre Rd Ste 203
Troy, MI 48085-1117
Phone (248) 964-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31004507A | IN | MD | Occupational Therapist |
| 5201011084 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Care Therapy LTD | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1720277015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE RD STE 203",
"city": "TROY",
"state": "MI",
"postal_code": "480851117",
"telephone_number": "248-964-5000",
"fax_number": "219-322-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE RD STE 203",
"city": "TROY",
"state": "MI",
"postal_code": "480851117",
"telephone_number": "248-964-5000",
"fax_number": "219-322-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAULTON",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201011084",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004507A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.