Haley Zietz, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010098 Issued in MI

Practice address

415 Munson Ave Ste 101
Traverse City, MI 49686-3059

Phone

(231) 486-6330

Fax

(231) 486-6329

NPI assigned

Dec 20, 2016

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Haley Crouse Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Saginaw Valley Medical College - NLG, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Beyond Barriers RehabilitationGroup PAC ID 4880829738, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Beyond Barriers Rehabilitation

  • Physical Therapy Clinic/Center
  • Rockford, MI
  • NPI 1487087300
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1902341332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MUNSON AVE STE 101",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863059",
            "telephone_number": "231-486-6330",
            "fax_number": "231-486-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MUNSON AVE STE 101",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863059",
            "telephone_number": "231-486-6330",
            "fax_number": "231-486-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIETZ",
        "first_name": "HALEY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010098",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "CROUSE",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Daniel Zeratsky, MD
• Linda Mertens Zeratsky, PA-C
• Matthew Zerilli
• Joseph Zerka, PHARMD
• Danielle Marie Zick
• Jacob Zimmer
• Mark J Zimmer, D.C.
• Wendy Arlene Zimmer, PT/MTC
• John Eric Zimmerman, M.D.
• Sheryl Zimmerman, DPT

• Occupational Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.