Heidi Spyridakis, MOT,OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201005558 Issued in MI

Practice address

15595 15 Mile Rd
Clinton TWP, MI 48035-2185

Phone

(586) 285-3884

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Heidi Ronchetto Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1841781366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56108 KEN CHARLES DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165547",
            "telephone_number": "586-596-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15595 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352185",
            "telephone_number": "586-285-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15595 15 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480352185",
            "country_code": "US",
            "telephone_number": "586-285-3884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13251 E 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480892076",
            "country_code": "US",
            "telephone_number": "586-759-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPYRIDAKIS",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "MOT,OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hspyridakis15988@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "15595 15 Mile Rd",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480352185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "RONCHETTO",
            "prefix": "MS.",
            "credential": "MOT,OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Amanda J J Stamper
• Christy L Stamper, LLMSW
• Haley Stanbury

• Occupational Therapist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.