NPIMap

Individual provider Active NPI

Debra Marie Willing-Tucker, OTRL

  • Occupational Therapist
  • Linden, MI
National Provider Identifier
1841685161
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002229 Issued in MI
Practice address
4284 W Four Lakes Dr
Linden, MI 48451-8427
Phone
(810) 287-7438
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002229 MI Primary
Environmental Modification Occupational Therapist 225XE0001X 5201002229 MI
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 5201002229 MI
Mental Health Occupational Therapist 225XM0800X 5201002229 MI
Neurorehabilitation Occupational Therapist 225XN1300X 5201002229 MI
Physical Rehabilitation Occupational Therapist 225XP0019X 5201002229 MI
Pediatric Occupational Therapist 225XP0200X 5201002229 MI

Addresses

Primary practice location

4284 W Four Lakes Dr
Linden, MI 48451-8427

Mailing address

4284 W Four Lakes Dr
Linden, MI 48451-8427
Phone (810) 287-7438

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

LicenseStateTypeSpecialty
5201002229MIMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1841685161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 W FOUR LAKES DR",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518427",
            "telephone_number": "810-287-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 W FOUR LAKES DR",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518427",
            "telephone_number": "810-287-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLING-TUCKER",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002229",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MI",
            "license": "5201002229",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "MI",
            "license": "5201002229",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MI",
            "license": "5201002229",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201002229",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201002229",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201002229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.