Active NPI
Elizabeth Theresa Schupra, OTRL
- Occupational Therapist
- Troy, MI
National Provider Identifier
1730683665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201001910
- Practice address
- 5877 Livernois Rd Ste 101
Troy, MI 48098-3100 - Phone
- (248) 828-3800
- Fax
- (248) 828-4226
- NPI assigned
- Mar 23, 2018
- 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 | 5201001910 | MI | Primary |
Addresses
Primary practice location
5877 Livernois Rd Ste 101
Troy, MI 48098-3100
Mailing address
2904 Masefield Dr
Bloomfield Hills, MI 48304-1950
Phone (248) 229-8186
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201001910 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1730683665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 MASEFIELD DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483041950",
"telephone_number": "248-229-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5877 LIVERNOIS RD STE 101",
"city": "TROY",
"state": "MI",
"postal_code": "480983100",
"telephone_number": "248-828-3800",
"fax_number": "248-828-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUPRA",
"first_name": "ELIZABETH",
"middle_name": "THERESA",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201001910",
"primary": true
}
],
"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 Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.