Active NPI
Reem Mariam Mansour, MOTR/L
- Occupational Therapist
- Novi, MI
National Provider Identifier
1891174587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009132
- Practice address
- 44125 West 12 Mile Rd E-123
Novi, MI 48377 - Phone
- (248) 952-4340
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201009132 | MI | Primary |
Addresses
Primary practice location
44125 West 12 Mile Rd E-123
Novi, MI 48377
Mailing address
8684 Golf Lane Dr.
Commerce TWP, MI 48382
Other names 1
- Ms. Reem Mariam Bata
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009132 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1891174587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8684 GOLF LANE DR.",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "48382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44125 WEST 12 MILE RD E-123",
"city": "NOVI",
"state": "MI",
"postal_code": "48377",
"telephone_number": "248-952-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSOUR",
"first_name": "REEM",
"middle_name": "MARIAM",
"name_prefix": "Mrs.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REEM",
"last_name": "BATA",
"middle_name": "MARIAM",
"prefix": "MS.",
"credential": "MOTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.