Active NPI
Tammy Lee Eakins, OTR
- Occupational Therapist
- Marine City, MI
National Provider Identifier
1831392695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201001256
- Practice address
- 540 S Parker St
Suite B
Marine City, MI 48039-3585 - Phone
- (810) 765-8110
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001256 | MI | Primary |
Addresses
Primary practice location
540 S Parker St
Suite B
Marine City, MI 48039-3585
Mailing address
6617 Starville Rd
Cottrellville TWP., MI 48039
Phone (810) 765-5905
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201001256 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831392695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6617 STARVILLE RD",
"city": "COTTRELLVILLE TWP.",
"state": "MI",
"postal_code": "48039",
"telephone_number": "810-765-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S PARKER ST",
"address_2": "SUITE B",
"city": "MARINE CITY",
"state": "MI",
"postal_code": "480393585",
"telephone_number": "810-765-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAKINS",
"first_name": "TAMMY",
"middle_name": "LEE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201001256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marine City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.