The Nourished Self, LLC
NPI 1922948272ActiveOrganization· Recreation Therapist· Plymouth, MI
Recreation Therapist in Plymouth, Michigan, registered in NPPES in March 2026. The authorized official on file is Samantha S. Eyerman, CTRS, Owner/President.
Overview
| NPI | 1922948272 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2026 |
| Last updated in NPPES | Mar 30, 2026 |
| Certified by provider | Mar 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Recreation Therapist Primary | 225800000X | — | — |
| Health & Wellness Coach | 171400000X | — | — |
| Health Educator | 174H00000X | — | — |
| Rehabilitation Practitioner | 225400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Recreation Therapist providers in Plymouth
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