Active NPI
Jodie Carley, OTR/L
- Occupational Therapist
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009117
- Practice address
- 210 Town Center Dr
Troy, MI 48084-1774 - Phone
- (248) 643-8900
- Fax
- (248) 740-3505
- NPI assigned
- Apr 2, 2015
- Last updated
- Mar 17, 2018
- Sex
- Female
- 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 | NU | ||
| Occupational Therapist | 225X00000X | 5201009117 | MI | Primary |
Addresses
Primary practice location
210 Town Center Dr
Troy, MI 48084-1774
Mailing address
23948 Cora Ave
Farmington Hills, MI 48336-2624
Phone (148) 760-7543
Other practice location 1
5210 Highland Rd
Suite 100
Waterford, MI 48327-1970
Phone (248) 674-9560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Town Ctr Dr
Troy, MI 48084-1774
Phone (248) 643-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009117 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Outcomes Management,LLC | Occupational Therapist | Current | Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
210 Town Center Dr
Troy, MI 48084
Phone (248) 643-8900
5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ExpertCare Management Services
- Community/Behavioral Health Agency
- Troy, MI
- NPI 1184139131
Occupational Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1942695341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23948 CORA AVE",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362624",
"telephone_number": "148-760-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 TOWN CENTER DR",
"city": "TROY",
"state": "MI",
"postal_code": "480841774",
"telephone_number": "248-643-8900",
"fax_number": "248-740-3505"
}
],
"practiceLocations": [
{
"address_1": "5210 Highland Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Waterford",
"state": "MI",
"postal_code": "483271970",
"country_code": "US",
"telephone_number": "248-674-9560",
"fax_number": "248-674-9562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLEY",
"first_name": "JODIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.