Provider Demographics
NPI:1508055666
Name:FOCUS POINT THERAPY, LLC
Entity Type:Organization
Organization Name:FOCUS POINT THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:248-356-7415
Mailing Address - Street 1:25811 W 12 MILE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1896
Mailing Address - Country:US
Mailing Address - Phone:248-356-7415
Mailing Address - Fax:248-356-7416
Practice Address - Street 1:25811 W 12 MILE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1896
Practice Address - Country:US
Practice Address - Phone:248-356-7415
Practice Address - Fax:248-356-7416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMP000744225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N54240Medicare PIN