Individual provider Active NPI

Luke A Nelson, OTRL

  • Occupational Therapist
  • Clinton TWP, MI
National Provider Identifier
1962750745
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009899 Issued in MI
Practice address
44738 Morley Dr
Clinton TWP, MI 48036-1357
Phone
(586) 421-4062
Fax
(586) 421-4072
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202007580 MI
Occupational Therapist 225X00000X 5201009899 MI Primary

Addresses

Primary practice location

44738 Morley Dr
Clinton TWP, MI 48036-1357

Mailing address

44738 Morley Dr
Clinton Township, MI 48036-1357
Phone (586) 421-4062

Other practice location 1

44682 Morley Dr
Clinton Township, MI 48036-1358
Phone (586) 421-4062

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

LicenseStateTypeSpecialty
5202007580MIMDOccupational Therapy Assistant
5201009899MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Therapeutic Learning and Communication, PLLC Occupational Therapy Assistant 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.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962750745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44738 MORLEY DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361357",
            "telephone_number": "586-421-4062",
            "fax_number": "586-421-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44738 MORLEY DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361357",
            "telephone_number": "586-421-4062",
            "fax_number": "586-421-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44682 Morley Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480361358",
            "country_code": "US",
            "telephone_number": "586-421-4062",
            "fax_number": "586-421-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LUKE",
        "middle_name": "A",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007580",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.