Tiffany Paavola, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

L1579755 Issued in MI

Practice address

960 Razorback Dr
Suite 3
Houghton, MI 49931-2830

Phone

(906) 482-8201

Fax

(906) 482-2771

NPI assigned

Nov 25, 2009

Last updated

Nov 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aspirus Keweenaw

  dba Aspirus Ontonagon Clinic

  • Rural Health Clinic/Center
  • Ontonagon, MI
  • NPI 1023161932
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1811225170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6591",
            "fax_number": "906-337-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RAZORBACK DR",
            "address_2": "SUITE 3",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312830",
            "telephone_number": "906-482-8201",
            "fax_number": "906-482-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAAVOLA",
        "first_name": "TIFFANY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "L1579755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Bray Nuttall, ATC, PTA
• Holly Sue O Clair, OD
• Omega House, Inc
• Katherine Claire Orr, PHARMD
• Jaime Oswald, MD
• Jonathan Packham, OTR/L
• Carli Pares
• Paul a Leep MD PC
• Dorian Pello
• Amy Lynn Perfetti, LLBSW QIDP QMHP

• Occupational Therapist in Houghton, MI
• Providers in Houghton, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.