Mason Saubert, COTA
Individual provider Active NPI Occupational Therapy Assistant · Wakefield, MI
NPI 1003744673 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1003744673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5202010318 (MI)
- Practice address
- 402 North St
Wakefield, MI 49968-9452 - Phone
- (906) 224-9811
- NPI assigned
- May 12, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202010318 | MI | MD | Occupational Therapy Assistant |
| 7163-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 7163-27 | WI | |
| Occupational Therapy Assistant | 224Z00000X | 5202010318 | MI | Yes |
Addresses
Primary practice location
402 North St
Wakefield, MI 49968-9452
Mailing address
75 Michigan Ave
Montreal, WI 54550-9728
Phone (906) 285-4545
Other providers in Wakefield, MI
- Angel Star Robles
- James Emil Rocco
- Lee Rosenberg
- Michael D Rubatt
- Amy Marie Saarnio Wyka
- Jeffrey Allen Senk
- David Simcoe
- Daniel Peter Tibaldo
- Tobi A Trotochaud
- Morgan Chelsea Vallejo
All providers in Wakefield, MI · Occupational Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.