Individual provider Active NPI

Morgan Valdahl, OTD, OTR/L

  • Occupational Therapist
  • Plymouth, MI
National Provider Identifier
1811719610
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014059 Issued in MI
Practice address
40500 Ann Arbor Rd E
Plymouth, MI 48170-4483
Phone
(734) 369-6002
NPI assigned
Oct 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 5201014059 MI Primary

Addresses

Primary practice location

40500 Ann Arbor Rd E
Plymouth, MI 48170-4483

Mailing address

46632 Aarons Way
Canton, MI 48188-2323
Phone (734) 756-3419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120002663 MI Practitioner - Occupational Therapist in Private Practice 9931634417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201014059MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Therapy Works, LLC Occupational Therapist CurrentSince Oct 31, 2024 Accepting new patients

Locations

635 S Maple Rd
Ste 2
Ann Arbor, MI 48103
Phone (734) 369-6002

40500 Ann Arbor Rd E
Ste 200
Plymouth, MI 48170
Phone (734) 369-6002

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1811719610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46632 AARONS WAY",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882323",
            "telephone_number": "734-756-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40500 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704483",
            "telephone_number": "734-369-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDAHL",
        "first_name": "MORGAN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014059",
            "primary": true
        }
    ],
    "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 Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.