Individual provider Active NPI

Ethan White, OTR/L

  • Occupational Therapist
  • Shelby Township, MI
National Provider Identifier
1871446302
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014547 Issued in MI
Practice address
45816 Schoenherr Rd Ste B
Shelby Township, MI 48315-6028
Phone
(586) 900-2100
Fax
(586) 900-2101
NPI assigned
Feb 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 5201014547 MI Primary

Addresses

Primary practice location

45816 Schoenherr Rd Ste B
Shelby Township, MI 48315-6028

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Other practice location 1

32743 23 Mile Rd Ste 220
Chesterfield, MI 48047-2176
Phone (586) 648-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309002460 MI Practitioner - Occupational Therapist in Private Practice 0143703108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Wayne State University School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201014547MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC CurrentSince Feb 18, 2026 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Jun 16, 2026 Accepting new patients
Team Rehabilitation Services, LLC Occupational Therapist CurrentSince Feb 18, 2026 Accepting new patients

Locations

32743 23 Mile Rd
Ste 220
Chesterfield, MI 48047
Phone (586) 648-5050

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400

Organizations & group practices 3

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1871446302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45816 SCHOENHERR RD STE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156028",
            "telephone_number": "586-900-2100",
            "fax_number": "586-900-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32743 23 Mile Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480472176",
            "country_code": "US",
            "telephone_number": "586-648-5050",
            "fax_number": "586-648-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ETHAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.