Individual provider Active NPI

Vivek Chavan, OTR

  • Occupational Therapist
  • Canton, MI
National Provider Identifier
1952545600
Registry record updated Apr 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004442 Issued in MI
Practice address
7080 Foxridge Dr
Canton, MI 48187-3586
Phone
(734) 469-8768
NPI assigned
Apr 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201004442 MI Primary

Addresses

Primary practice location

7080 Foxridge Dr
Canton, MI 48187-3586

Mailing address

7080 Foxridge Dr
Canton, MI 48187-3586
Phone (734) 469-8768

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Home Private Duty LLC Current Accepting new patients
Golden Home Health Care, Inc. CurrentSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

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": "1240617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240617600000",
    "number": "1952545600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 FOXRIDGE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873586",
            "telephone_number": "734-469-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 FOXRIDGE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873586",
            "telephone_number": "734-469-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVAN",
        "first_name": "VIVEK",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-25",
        "last_updated": "2009-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2009; 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.