Individual provider Active NPI

Denise Louise Seidl, OTR CHT

  • Occupational Therapist
  • Lake Orion, MI
National Provider Identifier
1053325936
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002498 Issued in MI
Practice address
425 N Park Blvd Ste 100
Suite 100
Lake Orion, MI 48362-3189
Phone
(248) 693-6835
Fax
(248) 693-7743
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 5201002498 MI Primary

Addresses

Primary practice location

425 N Park Blvd Ste 100
Suite 100
Lake Orion, MI 48362-3189

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417002089 MI Practitioner - Occupational Therapist in Private Practice 2365674769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3105 Main St
Marlette, MI 48453-1508
Phone (989) 635-3660

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201002498MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Occupational Therapist CurrentSince Dec 16, 2013 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Dec 16, 2013 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

3500 Washtenaw Ave
Ste B
Ann Arbor, MI 48104
Phone (734) 794-9915

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2510 S Telegraph Rd
Ste I
Bloomfield Hills, MI 48302
Phone (248) 335-2000

42955 Ford Rd
Canton, MI 48187
Phone (734) 981-2100

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

7057 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-1406

4950 S Baldwin Rd
Lake Orion, MI 48359
Phone (248) 409-0576

425 N Park Blvd
Ste 100
Lake Orion, MI 48362
Phone (248) 693-6835

3105 Main St
Marlette, MI 48453
Phone (989) 635-3660

25700 Pontiac Trl
South Lyon, MI 48178
Phone (248) 366-0403

2215 18 Mile Rd
Sterling Heights, MI 48314
Phone (586) 930-0668

1350 Kirts Blvd
Ste 120
Troy, MI 48084
Phone (248) 244-7927

1949 W Maple Rd
Troy, MI 48084
Phone (248) 268-5497

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

5159 Highland Rd
Ste 100
Waterford, MI 48327

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1053325936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N PARK BLVD STE 100",
            "address_2": "SUITE 100",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623189",
            "telephone_number": "248-693-6835",
            "fax_number": "248-693-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDL",
        "first_name": "DENISE",
        "middle_name": "LOUISE",
        "credential": "OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.