Individual provider Active NPI

Linda Marie Healy, OTR

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1891345013
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
52010000101 Issued in MI
Practice address
2505 Ardmore St SE
Grand Rapids, MI 49506-4924
Phone
(616) 559-1054
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 52010000101 MI Primary

Addresses

Primary practice location

2505 Ardmore St SE
Grand Rapids, MI 49506-4924

Mailing address

2505 Ardmore St SE
Grand Rapids, MI 49506-4924
Phone (616) 559-1054

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
52010000101MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Center Inc CurrentSince Oct 30, 2020 Accepting new patients

Locations

2505 Ardmore St SE
Grand Rapids, MI 49506
Phone (616) 559-1054

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1891345013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ARDMORE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064924",
            "telephone_number": "616-559-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 ARDMORE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064924",
            "telephone_number": "616-559-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "52010000101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.