Active NPI
Scott Squires, MS, OTR/L
- Occupational Therapist
- Plymouth, MI
National Provider Identifier
1770969081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 229 N Sheldon Rd
Plymouth, MI 48170-1524 - Phone
- (313) 278-4601
- NPI assigned
- Aug 10, 2015
- Last updated
- May 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary | |
| Pediatric Occupational Therapist | 225XP0200X | 9789 | NC |
Addresses
Primary practice location
229 N Sheldon Rd
Plymouth, MI 48170-1524
Mailing address
229 N Sheldon Rd
Plymouth, MI 48170-1524
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9789 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1770969081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 N SHELDON RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N SHELDON RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701524",
"telephone_number": "313-278-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "SCOTT",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-10",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "9789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.