Active NPI
Sairah Safdar, MS, OTR/L
- Hand Occupational Therapist
- Warren, MI
National Provider Identifier
1760856629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 5201008892
- Practice address
- 11012 E 13 Mile Rd
Suite 200
Warren, MI 48093-2572 - Phone
- (586) 573-8890
- NPI assigned
- Nov 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 5201008892 | MI | Primary |
| Hand Occupational Therapist | 225XH1200X | 31005547A | IN |
Addresses
Primary practice location
11012 E 13 Mile Rd
Suite 200
Warren, MI 48093-2572
Mailing address
5506 Salem Dr S
Carmel, IN 46033-8585
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005547A | IN | MD | Hand Occupational Therapist |
| 5201008892 | MI | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1760856629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5506 SALEM DR S",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11012 E 13 MILE RD",
"address_2": "SUITE 200",
"city": "WARREN",
"state": "MI",
"postal_code": "480932572",
"telephone_number": "586-573-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFDAR",
"first_name": "SAIRAH",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MI",
"license": "5201008892",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IN",
"license": "31005547A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.