Organization Active NPI

Real Skills Academy, LLC

  • Driving and Community Mobility Occupational Therapist
  • Waterford, MI
National Provider Identifier
1720326747
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X
Legal business name
REAL SKILLS ACADEMY, LLC
Practice address
4620 Dixie Hwy
Suite a
Waterford, MI 48329-3574
Phone
(248) 673-6799
Fax
(248) 209-6788
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Ms. Rachel Renee Duncan, CDRS, CDI
Title
Owner
Phone
(248) 673-6799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XR0403X Primary

Addresses

Primary practice location

4620 Dixie Hwy
Suite a
Waterford, MI 48329-3574

Mailing address

4620 Dixie Hwy
Suite a
Waterford, MI 48329-3574
Phone (248) 673-6799

National Provider Directory

National Provider Directory

Locations

4620 Dixie Hwy
Ste A
Waterford, MI 48329
Phone (248) 673-6799

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1720326747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 DIXIE HWY",
            "address_2": "SUITE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293574",
            "telephone_number": "248-673-6799",
            "fax_number": "248-209-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 DIXIE HWY",
            "address_2": "SUITE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293574",
            "telephone_number": "248-673-6799",
            "fax_number": "248-209-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL SKILLS ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-673-6799",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDRS, CDI"
    },
    "taxonomies": [
        {
            "code": "225XR0403X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.