Eric Wahl, OT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

5201006958 Issued in MI

Practice address

36975 Five Mile Rd
Livonia, MI 48154-1871

Phone

(734) 464-0600

NPI assigned

Feb 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1992205462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56701 HARTLEY DR E",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165587",
            "telephone_number": "586-206-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36975 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541871",
            "telephone_number": "734-464-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "ERIC",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Wafer
• Renee Frances Waggoner
• Hanna Leigh Wagner
• Hayley Wagner
• Lina Waheeda
• Shari Wahl
• Toshiaki Wakai, M.D.
• Kara Elizabeth Wakefield, CPRM
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Physical Rehabilitation Occupational Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Rehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.