2922 Fuller Ave Ne Ste 105, Grand Rapids, MI 49505
Phone
(616) 327-6191
Listed under
Pediatric occupational therapy
NPI
1245879204
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Occupational Therapist, Pediatrics (225XP0200X)
Credentials listed
OTR/L
License number on NPI record
5201013256 (MI)
NPI first issued
Dec 23, 2019
NPI record last updated
Mar 24, 2025
NPI 1245879204 is active in the federal NPPES registry (CMS); license 5201013256 (MI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric occupational therapists help children with fine motor skills, self-care, sensory processing, handwriting and feeding.
Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.