Donna Bauldry

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

5201004860 Issued in MI

Practice address

33000 Annapolis St Ste 210
Wayne, MI 48184-2920

Phone

(734) 467-4134

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oakwood Healthcare Inc

  dba Corewell Health Retail Pharmacy Westland

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1912408253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MCKINLEY CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886688",
            "telephone_number": "734-673-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33000 ANNAPOLIS ST STE 210",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842920",
            "telephone_number": "734-467-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAULDRY",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201004860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Marc Banks
• Leeann Barr
• Ernest Bart, LMSW
• Joe Baskin
• Brittney Battaglia
• Sawsan Baydoun, RPH
• Danielle Bayless, LPN
• Hussein Fouad Bazzy, DO
• Pamela Beard, LPN
• Kathleen Rosemarie Bender, RN

• Physical Rehabilitation Occupational Therapist in Wayne, MI
• Providers in Wayne, MI by specialty
• Physical Rehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.