Individual provider Active NPI

James Riley, OTR, CHT

  • Hand Occupational Therapist
  • Southfield, MI
National Provider Identifier
1912175647
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
5201004080 Issued in MI
Practice address
22401 Foster Winter Drive
2ND Floor Outpatient Therapy
Southfield, MI 48075
Phone
(248) 423-5123
Fax
(248) 423-5125
NPI assigned
Feb 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 5201004080 MI Primary

Addresses

Primary practice location

22401 Foster Winter Drive
2ND Floor Outpatient Therapy
Southfield, MI 48075

Mailing address

22401 Foster Winter Drive
2ND Floor Outpatient Therapy
Southfield, MI 48075
Phone (248) 423-5123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101002832 MI Practitioner - Occupational Therapist in Private Practice 7618126632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northville Physical Rehabilitation PCGroup PAC ID 5193611101, 13 clinicians

Practice addresses (Care Compare)

215 E Main St
Suite B
Northville, MI 48167-1681
Phone (248) 349-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northville Physical Rehabilitation, P.C. CurrentSince Oct 6, 2021 Accepting new patients
Michigan Surgery Specialists P.C. Past Accepting new patients
Michigan Surgery Specialists, P.C. Past Accepting new patients

Locations

215 E Main St
Ste B
Northville, MI 48167
Phone (248) 349-9339

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1912175647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DRIVE",
            "address_2": "2ND FLOOR OUTPATIENT THERAPY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-423-5123",
            "fax_number": "248-423-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DRIVE",
            "address_2": "2ND FLOOR OUTPATIENT THERAPY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-423-5123",
            "fax_number": "248-423-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201004080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.