Individual provider Active NPI

Dawn Louise Pelino, OTR, CHT

  • Occupational Therapist
  • Troy, MI
National Provider Identifier
1043359581
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005409 Issued in MI
Practice address
4967 Crooks Rd Ste 150
Troy, MI 48098-5802
Phone
(248) 509-9700
Fax
(248) 509-9701
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201005409 MI Primary

Addresses

Primary practice location

4967 Crooks Rd Ste 150
Troy, MI 48098-5802

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Other practice location 1

5825 S Main St
Suite 103
Clarkston, MI 48346-2983
Phone (248) 620-8980

Other practice location 2

75 W Square Lake Rd
Troy, MI 48098-2929
Phone (248) 688-9010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229001941 MI Practitioner - Occupational Therapist in Private Practice 3971099037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Practice addresses (Care Compare)

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201005409MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC CurrentSince Dec 22, 2025 Accepting new patients
Team Rehabilitation Services, LLC Occupational Therapist CurrentSince Dec 22, 2025 Accepting new patients
Michigan Surgery Specialists P.C. Past Accepting new patients
Michigan Orthopaedic Surgeons, PLLC PastSince Dec 21, 2025 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

1210 S Irish Rd
Davison, MI 48423
Phone (810) 379-7070

75 W Square Lake Rd
Troy, MI 48098
Phone (248) 688-9004

Interoperability endpoints

  • Direct secure messaging: dawn.pelino.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1043359581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985802",
            "telephone_number": "248-509-9700",
            "fax_number": "248-509-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5825 S Main St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462983",
            "country_code": "US",
            "telephone_number": "248-620-8980",
            "fax_number": "248-620-9397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 W Square Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480982929",
            "country_code": "US",
            "telephone_number": "248-688-9010",
            "fax_number": "248-688-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELINO",
        "first_name": "DAWN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.