Individual provider Active NPI

Colleen M Vance

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1831845197
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014169 Issued in MI
Practice address
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone
(616) 447-7799
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 5201014169 MI Primary

Addresses

Primary practice location

2251 E Paris Ave SE
Grand Rapids, MI 49546-2431

Mailing address

4963 Cedar Crest CT NE
Grand Rapids, MI 49525-6713
Phone (616) 284-7192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204003272 MI Practitioner - Occupational Therapist in Private Practice 4587157888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2251 E Paris Ave SE
Grand Rapids, MI 49546-6128

4963 Cedar Crest CT NE
Grand Rapids, MI 49525-6713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201014169MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Children'S Therapy Corner Inc PastSince Feb 27, 2022 Accepting new patients

Locations

2251 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 447-7799

570 E Division St
Rockford, MI 49341
Phone (616) 447-7799

Organizations & group practices 2

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1831845197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 CEDAR CREST CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256713",
            "telephone_number": "616-284-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462431",
            "telephone_number": "616-447-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.