Andrea Hyde
Occupational Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1558094953
StatusActive
Last updated in NPPESJul 5, 2022
Details
- NPI
- 1558094953
- Entity type
- Individual (NPI-1)
- Name
- Andrea Hyde
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2022
- Certification date
- Jul 5, 2022
- Last updated
- Jul 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201009822 | MI | Yes |
Practice location
235 Wealthy St SeGrand Rapids, MI 49503-5247
Phone 616-840-8000
Mailing address
235 Wealthy St SeGrand Rapids, MI 49503-5247
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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