Individual provider Active NPI

Sarine Sabrina Misirliyan, OTRL, OTD

  • Occupational Therapist
  • West Bloomfield, MI
National Provider Identifier
1801603550
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014041 Issued in MI
Practice address
33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586
Phone
(248) 595-7800
Fax
(248) 630-7242
NPI assigned
Dec 16, 2024
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201014041 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586

Mailing address

PO Box 23286
Belfast, ME 04915-4483

Other practice location 1

33481 W 14 Mile Rd Ste 130
Farmington Hills, MI 48331-1578
Phone (248) 661-6708

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
5201014041MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Dec 17, 2024 Accepting new patients
Team Rehabilitation Services, LLC CurrentSince Dec 16, 2024 Accepting new patients
Team Rehabilitation Services, LLC Occupational Therapist CurrentSince Dec 16, 2024 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

33481 W 14 Mile Rd
Ste 130
Farmington Hills, MI 48331
Phone (248) 661-6708

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322
Phone (248) 855-7400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1801603550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23286",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 220",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223586",
            "telephone_number": "248-595-7800",
            "fax_number": "248-630-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33481 W 14 Mile Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483311578",
            "country_code": "US",
            "telephone_number": "248-661-6708",
            "fax_number": "248-661-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISIRLIYAN",
        "first_name": "SARINE",
        "middle_name": "SABRINA",
        "name_prefix": "Mrs.",
        "credential": "OTRL, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.