Crawl, Walk, Jump, Run Therapy Clinic, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

5201007297 Issued in MI

Legal business name

CRAWL, WALK, JUMP, RUN THERAPY CLINIC, LLC

Practice address

43239 Schoenherr Rd
Sterling Heights, MI 48313-1957

Phone

(586) 323-2957

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Anne Marie Mulrenin, OTR/L

Title

Occupational Therapy

Phone

(586) 323-2957

Specialties & licenses 1

Addresses

Tax ID family

Crawl Walk Jump Run Therapy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crawl Walk Jump Run Therapy Clinic

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
  • NPI 1720488620
  NPD tax ID

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1801122890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43239 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131957",
            "telephone_number": "586-323-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43239 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131957",
            "telephone_number": "586-323-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWL, WALK, JUMP, RUN THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "MULRENIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "586-323-2957",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MI",
            "license": "5201007297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejanee Craighead
• Cranbrook Foot Surgeons
• Genevieve J Crandall, MD
• Jasmine Crawford
• Crawl Walk Jump Run Therapy Clinic LLC
• Joy Patricia Creel, LPC
• Zachary David Cremen
• Crimson Maple Dental
• Destiny Kaila Crippen
• Crittenton RX LLC

• Developmental Disabilities Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Developmental Disabilities Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.