Penny Nicole Adams, MS-OTR/L
Individual provider Active NPI Occupational Therapist · Grand Rapids, MI
NPI 1831690759 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1831690759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 235 Wealthy St SE
Grand Rapids, MI 49503-5247 - Phone
- (616) 840-8000
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | MI | Yes |
Addresses
Primary practice location
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Mailing address
235 Wealthy St SE
C/O Julie Haggerty
Grand Rapids, MI 49503
Phone (616) 840-8000
Other providers in Grand Rapids, MI
- Keanna Keshaunna Adams
- Kenneth Wayne Adams
- Lyree Marie Adams
- Marcy Lind Adams
- Matthew Glenn Adams
- Sandra M Adams
- Spencer Adams
- Stacie Diane Adams
- Stephanie Adams
- Terri M Adams
All providers in Grand Rapids, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.