NPIMap

Organization Active NPI

Function Rehabilitation

  • Occupational Therapist
  • Traverse City, MI
National Provider Identifier
1922542539
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007563 Issued in MI
Legal business name
FUNCTION REHABILITATION
Practice address
4110 Copper Ridge Dr Ste 202
Traverse City, MI 49684-6721
Phone
(231) 486-6138
Fax
(231) 486-6140
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Douglas Albright, MOT, OTR/LNPI 1972834463
Title
Occupational Therapist
Phone
(231) 421-9201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201007563 MI Primary
Mental Health Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XM0800X
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X
Driving and Community Mobility Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XR0403X

Addresses

Primary practice location

4110 Copper Ridge Dr Ste 202
Traverse City, MI 49684-6721

Mailing address

4110 Copper Ridge Dr Ste 202
Traverse City, MI 49684-6721
Phone (231) 486-6138

Other names 1

  • Douglas R. Albright Former legal business name

National Provider Directory

National Provider Directory

Locations

4110 Copper Ridge Dr
Ste 202
Traverse City, MI 49684
Phone (231) 486-6138

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1922542539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR STE 202",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846721",
            "telephone_number": "231-486-6138",
            "fax_number": "231-486-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR STE 202",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846721",
            "telephone_number": "231-486-6138",
            "fax_number": "231-486-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "231-421-9201",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007563",
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas R. Albright",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.