Active NPI
Gregory Ellis Ratchford, O.T.R.
- Occupational Therapist
- Southfield, MI
National Provider Identifier
1962706697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201001974
- Practice address
- 22172 Twyckingham Way
Southfield, MI 48034-4709 - Phone
- (248) 355-3644
- Fax
- (248) 355-3644
- NPI assigned
- Jan 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001974 | MI | Primary |
Addresses
Primary practice location
22172 Twyckingham Way
Southfield, MI 48034-4709
Mailing address
22172 Twyckingham Way
Southfield, MI 48034-4709
Phone (248) 355-3644
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otr Rehabilitation, LCC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Southfield, MI
- NPI 1952605685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1962706697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22172 TWYCKINGHAM WAY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480344709",
"telephone_number": "248-355-3644",
"fax_number": "248-355-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22172 TWYCKINGHAM WAY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480344709",
"telephone_number": "248-355-3644",
"fax_number": "248-355-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATCHFORD",
"first_name": "GREGORY",
"middle_name": "ELLIS",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201001974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.