Jennifer Larue, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201006346 Issued in MI

Practice address

138 W Highland Rd # RS
Suite 500-600
Howell, MI 48843-2168

Phone

(517) 376-4831

Fax

(517) 376-4833

NPI assigned

Jul 13, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)
• Leaps and Bounds Therapy Services L.L.C.

  • Behavior Analyst
  • Howell, MI
  • NPI 1275008401
  NPD (past)
• Northern Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lyndonville, VT
  • NPI 1164509980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1013229467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD # RS",
            "address_2": "SUITE 500-600",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432168",
            "telephone_number": "517-376-4831",
            "fax_number": "517-376-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD # RS",
            "address_2": "SUITE 500-600",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432168",
            "telephone_number": "517-376-4831",
            "fax_number": "517-376-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "JENNIFER",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201006346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST LICENSE",
            "identifier": "5201006346",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Lamb
• Brit Lamoreaux
• Gordon Lange
• Abby Rae Langell, BS, MSW
• Lansing Ophthalmology, PC
• Laura Aversano DDS PLLC
• Bailee Lawrence
• Donald W Lawrenchuk, M.D., MPH
• Leap Therapy Services LLC
• Leaps and Bounds Therapy Services L.L.C.

• Pediatric Occupational Therapist in Howell, MI
• Providers in Howell, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.