Active NPI
Juan C Flores Jr.
- Occupational Therapist
- Plymouth, MI
National Provider Identifier
1922391614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113847
- Practice address
- 705 S Main St Ste 220
Plymouth, MI 48170-5436 - Phone
- (734) 354-8000
- NPI assigned
- May 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11845 | CA | |
| Occupational Therapist | 225X00000X | 113847 | TX | Primary |
Addresses
Primary practice location
705 S Main St Ste 220
Plymouth, MI 48170-5436
Mailing address
9 Hannah Cole Dr
St Augustine, FL 32080-5162
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
| License | State | Type | Specialty |
|---|---|---|---|
| 113847 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1922391614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HANNAH COLE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320805162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 S MAIN ST STE 220",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481705436",
"telephone_number": "734-354-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JUAN",
"middle_name": "C",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "11845",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.