Individual provider Active NPI

Brian William Arrol, OTL

  • Pediatric Occupational Therapist
  • Davisburg, MI
National Provider Identifier
1891909412
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201001520 Issued in MI
Practice address
11096 Waterside Dr
Davisburg, MI 48350-3561
Phone
(248) 625-9203
Fax
(248) 625-9203
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 5201001520 MI Primary

Addresses

Primary practice location

11096 Waterside Dr
Davisburg, MI 48350-3561

Mailing address

11096 Waterside Dr
Davisburg, MI 48350-3561
Phone (248) 892-1578

Other names 1

  • Mr. Brian William Arrol Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422002037 MI Practitioner - Occupational Therapist in Private Practice 9133351398 Practice locations: Commerce, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201001520MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Adventures CurrentSince Apr 17, 2022 Accepting new patients

Locations

8896 Commerce Rd
Ste 2
Commerce Twp, MI 48382
Phone (248) 860-1555

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1891909412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11096 WATERSIDE DR",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483503561",
            "telephone_number": "248-892-1578",
            "fax_number": "248-625-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11096 WATERSIDE DR",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483503561",
            "telephone_number": "248-625-9203",
            "fax_number": "248-625-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROL",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201001520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "ARROL",
            "middle_name": "WILLIAM",
            "prefix": "MR.",
            "credential": "OTL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davisburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.