Individual provider Active NPI

Alison Rachel Braden, OTRL

  • Occupational Therapist
  • Ypsilanti, MI
National Provider Identifier
1013585363
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010186 Issued in MI
Practice address
850 S Hewitt Rd Ste 100
Ypsilanti, MI 48197-4594
Phone
(734) 544-5561
NPI assigned
Jun 14, 2021
Reactivated
May 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.013646 IL
Pediatric Occupational Therapist 225XP0200X
Occupational Therapist 225X00000X 5201010186 MI Primary

Addresses

Primary practice location

850 S Hewitt Rd Ste 100
Ypsilanti, MI 48197-4594

Mailing address

850 S Hewitt Rd Ste 100
Ypsilanti, MI 48197-4594
Phone (734) 544-5561

Other practice location 1

1409 W Carroll Ave
Chicago, IL 60607-1105
Phone (312) 733-0833

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alisonbraden@eyaslanding.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801000211 MI Practitioner - Occupational Therapist in Private Practice 1850773367 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.013646ILMDOccupational Therapist
5201010186MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Autism Pediatric Medical Centers PLLC CurrentSince Jun 11, 2023 Accepting new patients
Behavioral Outcomes Management,LLC Occupational Therapist CurrentSince Jan 2, 2025 Accepting new patients
Eyas Landing, Inc. Pediatrics PastSince Jun 1, 2021 Accepting new patients

Locations

210 Town Center Dr
Troy, MI 48084
Phone (248) 643-8900

850 S Hewitt Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 544-5561

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1013585363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S HEWITT RD STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974594",
            "telephone_number": "734-544-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S HEWITT RD STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974594",
            "telephone_number": "734-544-5561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 W Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606071105",
            "country_code": "US",
            "telephone_number": "312-733-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "ALISON",
        "middle_name": "RACHEL",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "deactivation_date": "2023-05-04",
        "reactivation_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013646",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alisonbraden@eyaslanding.com",
            "affiliation": "N",
            "endpointDescription": "employee email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3272 Stein Rd",
            "city": "Bad Axe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484139751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.