Individual provider Active NPI

Deanna L Sinclair, MHS, OTRL, CLT, CAPS

  • Occupational Therapist
  • Traverse City, MI
National Provider Identifier
1760740740
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004034 Issued in MI
Practice address
335 W South Airport Rd
Ste B
Traverse City, MI 49686-4886
Phone
(231) 633-6988
Fax
(231) 421-8088
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201004034 MI Primary
Environmental Modification Occupational Therapist 225XE0001X 5201004034 MI
Physical Rehabilitation Occupational Therapist 225XP0019X 5201004034 MI

Addresses

Primary practice location

335 W South Airport Rd
Ste B
Traverse City, MI 49686-4886

Mailing address

633 Bay Hill Dr
Apt 14
Traverse City, MI 49684-6602
Phone (231) 633-6988

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

LicenseStateTypeSpecialty
5201004034MIMDEnvironmental Modification Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Consulting LLC CurrentSince May 30, 2012 Accepting new patients

Locations

335 W South Airport Rd
Ste B
Traverse City, MI 49686
Phone (231) 633-6988

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1760740740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 BAY HILL DR",
            "address_2": "APT 14",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846602",
            "telephone_number": "231-633-6988",
            "fax_number": "231-421-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W SOUTH AIRPORT RD",
            "address_2": "STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864886",
            "telephone_number": "231-633-6988",
            "fax_number": "231-421-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "DEANNA",
        "middle_name": "L",
        "credential": "MHS, OTRL, CLT, CAPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004034",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MI",
            "license": "5201004034",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201004034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.