Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Rogers, OTR/L

Individual provider Behavior Technician · NPI 1609412675

Ethan Rogers, OTR/L is a Behavior Technician in Wyoming, Michigan. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3555 Copper River Ave SW
Wyoming, MI 49418-9791
Phone: (616) 369-7448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2555 Fox Run Rd Sw Apt 10, Wyoming, MI 49519-5210 — (313) 720-8222

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1609412675
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021

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