Online Pediatric Therapy is a
Occupational Therapist based in Augusta, Michigan. Online Pediatric Therapy is licensed to practice in Michigan (license number 5201000071) and their current practice location is
16725 E C Ave, Augusta, Michigan. It can be reached at their office (for appointments etc.) via phone at
(269) 207-6501.
NPI number for Online Pediatric Therapy is 1952660276 and their current mailing address is 16725 E C Ave, Augusta, Michigan. Online Pediatric Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1952660276.
Healthcare Provider's Profile
Full Name | Online Pediatric Therapy |
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Type | Facility |
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Speciality | Occupational Therapist |
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Location | 16725 E C Ave, Augusta, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952660276
- Provider Enumeration Date: 05/07/2012
- Last Update Date: 05/07/2012
Medical Identifiers
Medical identifiers for Online Pediatric Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952660276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 5501000917 (Michigan) | Secondary |
225X00000X | Occupational Therapist | 5201000071 (Michigan) | Primary |
235Z00000X | Speech-language Pathologist | CCC# 12120774 (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Online Pediatric Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Online Pediatric Therapy 16725 E C Ave, Augusta, MI 49012-9332 Ph: (269) 207-6501 | Online Pediatric Therapy 16725 E C Ave, Augusta, MI 49012-9332 Ph: (269) 207-6501 |
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