Individual provider Active NPI

Benjamin Hosssein Hayati, OTR

  • Occupational Therapist
  • Saginaw, MI
National Provider Identifier
1730686122
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010195 Issued in MI
Practice address
315 W Genesee Ave
Saginaw, MI 48602-5511
Phone
(989) 980-9747
NPI assigned
Apr 11, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201010195 MI
Occupational Therapist 225X00000X 5201010195 MI Primary

Addresses

Primary practice location

315 W Genesee Ave
Saginaw, MI 48602-5511

Mailing address

330 State Park Dr
Bay City, MI 48706-1349
Phone (989) 225-0190

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

LicenseStateTypeSpecialty
5201010195MIMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1730686122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 STATE PARK DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061349",
            "telephone_number": "989-225-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025511",
            "telephone_number": "989-980-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYATI",
        "first_name": "BENJAMIN",
        "middle_name": "HOSSSEIN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201010195",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.