Active NPI
Thomas L Outman
- Occupational Therapist
- Cadillac, MI
National Provider Identifier
1720378086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007907
- Practice address
- 460 Pearl St
Cadillac, MI 49601 - Phone
- (231) 775-0101
- NPI assigned
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119005075 | VA | |
| Occupational Therapist | 225X00000X | L1939802 | MI | |
| Occupational Therapist | 225X00000X | 5201007907 | MI | Primary |
Addresses
Primary practice location
460 Pearl St
Cadillac, MI 49601
Mailing address
460 Pearl St
Cadillac, MI 49601-2620
Other practice location 1
9803 Aldersmead Pl
Richmond, VA 23236-4649
Phone (800) 806-6026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Saginaw Valley Medical College - NLG, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7376 Glen Eagle Dr
Bay City, MI 48706-9316
Phone (989) 992-1367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201007907 | MI | MD | Occupational Therapist |
| L1939802 | MI | MD | Occupational Therapist |
| 0119005075 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Rehab LLC | Occupational Therapist | Current | 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": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1720378086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 PEARL ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 PEARL ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-775-0101"
}
],
"practiceLocations": [
{
"address_1": "9803 Aldersmead Pl",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232364649",
"country_code": "US",
"telephone_number": "800-806-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OUTMAN",
"first_name": "THOMAS",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-07",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005075",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "L1939802",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.