Individual provider · Type 1 NPI

Justin Thomas Feliczak

Occupational Therapy Assistant · Cedar Springs, MI

NPI number 1003778721 Active

Practice location

400 Jeffrey St
Cedar Springs, MI 49319-9572

Mailing address

3205 Soft Water Lake Dr NE Apt 9-204
Grand Rapids, MI 49525-2748

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003778721

Justin Thomas Feliczak's National Provider Identifier is 1003778721, issued on Dec 1, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Cedar Springs, MI. The record was last updated on Dec 1, 2025.