Individual provider Active NPI

Tristan Jarosiewicz, OTR/L

  • Occupational Therapist
  • Detroit, MI
National Provider Identifier
1841953296
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201012658 Issued in MI
Practice address
2102 Orleans St
Detroit, MI 48207-2769
Phone
(313) 462-4362
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 5201012658 MI Primary

Addresses

Primary practice location

2102 Orleans St
Detroit, MI 48207-2769

Mailing address

38629 Florence St
Westland, MI 48185-8802
Phone (734) 659-7344

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@missionpointhealthcare.com Direct

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
5201012658MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1841953296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38629 FLORENCE ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481858802",
            "telephone_number": "734-659-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 ORLEANS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072769",
            "telephone_number": "313-462-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROSIEWICZ",
        "first_name": "TRISTAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201012658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@missionpointhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Skilled nursing facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Orleans St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482072769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.