Individual provider Active NPI

Todd Sirrine, O.T.R./L

  • Occupational Therapist
  • Midland, MI
National Provider Identifier
1861790909
Registry record updated Mar 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007886 Issued in MI
Practice address
146 S Spring St
Midland, MI 48640-9025
Phone
(989) 859-4781
NPI assigned
Mar 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2011

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 5201007886 MI Primary

Addresses

Primary practice location

146 S Spring St
Midland, MI 48640-9025

Mailing address

146 S Spring St
Midland, MI 48640-9025
Phone (989) 859-4781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000325 MI Practitioner - Occupational Therapist in Private Practice 6305021890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201007886MIMDOccupational Therapist

Organizations & group practices 1

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": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299974400000",
    "number": "1861790909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S SPRING ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409025",
            "telephone_number": "989-859-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S SPRING ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409025",
            "telephone_number": "989-859-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRRINE",
        "first_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "O.T.R./L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-13",
        "last_updated": "2011-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.