AUTUMN CONNER (NPI# 1174035828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174035828 |
| Entity Type | Individual |
| Full Name | AUTUMN CONNER |
| Credential | MOT, OTRL |
| Practice Address |
27472 Schoenherr Rd Ste 130 Warren MI 48088-6675 |
| Practice Telephone | 5864396243 |
| Practice Fax Number | 5864396240 |
| Mailing Telephone | 5864396243 |
| Mailing Fax Number | 5864396240 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
5201010040 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 5201010040 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36622 Five Mile Rd Ste 102, Livonia, MI 481541900 | 7345429770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466695 | Autumn Conner | Behavioral Analyst | 2174 S Racine Way # W24-204, Aurora, CO 80014-7306 | 2020-01-24 |
| Street Address |
27472 SCHOENHERR RD STE 130 |
| City | WARREN |
| State | MI |
| Zip Code | 48088-6675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205119666 | Lisa Marie Giorgi | Physical Therapist | 27472 Schoenherr Rd Ste 130, Warren, MI 48088-6675 | 2011-09-22 |
| 1629540661 | Victoria Cassar | Physical Therapist | 27472 Schoenherr Rd Ste 130, Warren, MI 48088-6675 | 2018-12-31 |
| 1396177994 | Elizabeth A. Locke Wisniewski | Physical Therapist | 27472 Schoenherr Rd Ste 130, Warren, MI 48088-6675 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
| Find all providers in zip 48088 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447236328 | Steven A Kushner Do PC | Occupational Therapist | 3272 E 12 Mile Rd. #106, Deerfield Meadows, Warren, MI 48092-5436 | 2005-12-21 |
| 1245707439 | Elizabeth Ann Sullivan | Occupational Therapist | 11012 E 13 Mile Rd Ste 200, Warren, MI 48093-2547 | 2018-10-26 |
| 1760856629 | Sairah Safdar | Occupational Therapist | 11012 E 13 Mile Rd, Suite 200, Warren, MI 48093-2572 | 2015-11-16 |
| 1740456557 | Amelia Milani Jones | Occupational Therapist | 11012 E 13 Mile Rd, Warren, MI 48093-2572 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972166692 | Aaron Wienczak | Occupational Therapist | 36622 Five Mile Rd Ste 215, Livonia, MI 48154-1900 | 2019-04-18 |
| 1407357155 | Mary Whitehouse Barber | Occupational Therapist | 2098 S Main St Rm 1135, Ann Arbor, MI 48103-5827 | 2018-02-27 |
| 1437650611 | Jeanne Marie Riggs | Occupational Therapist | Domino's Farms, Lobby A Plastic Surg Ste Rm 1108, 24 Frank Lloyd Wright Dr., Spc 5735, Ann Arbor, MI 48106-5735 | 2018-02-23 |
| 1598275067 | Meredith Aja | Occupational Therapist | 1282 Kirts Blvd Ste 102, Troy, MI 48084-4888 | 2017-10-10 |
| 1912459470 | Erin K Nowak | Occupational Therapist | 501 S Health Pkwy, Three Rivers, MI 49093-8350 | 2016-11-01 |
| 1720532443 | Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | 5160 Gotfredson Rd, Plymouth, MI 48170-5019 | 2016-08-10 |
| 1154799666 | Mary Lynne Kleis | Occupational Therapist | 3739 Baldwin St, Hudsonville, MI 49426-9733 | 2015-09-14 |
| 1326387515 | Stephanie Tamminga | Occupational Therapist | 245 Cherry St Se Ste 302, Grand Rapids, MI 49503-4607 | 2013-02-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1568628790 | Great Lakes Hand Therapy PC | Occupational Therapist | 3600 Capital Ave Sw Ste 103, Battle Creek, MI 49015 | 2008-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.