Lighthouse Pediatric Therapy

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

LIGHTHOUSE PEDIATRIC THERAPY

Practice address

11174 E 13 Mile Rd
Warren, MI 48093-2559

Phone

(313) 285-3978

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Allyson Doll AndrewsNPI 1396506689

Title

Ceo

Phone

(313) 285-3978

Specialties & licenses 2

Addresses

Tax ID family

Integrated Health Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lighthouse Pediatric Therapy

  • Home Health Agency
  • Warren, MI
  • NPI 1942166020
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allyson Doll Andrews

  • Clinical Social Worker
  • Royal Oak, MI
  • NPI 1396506689
  NPD Authorized official
• Michaela Ann Buckley, CCC-SLP

  • Speech-Language Pathologist
  • Royal Oak, MI
  • NPI 1679289680
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1083365639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11174 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932559",
            "telephone_number": "313-285-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11174 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932559",
            "telephone_number": "313-285-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "DOLL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-285-3978",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Lewyckyj, R.PH.
• Lifeline Management LLC
• Lifelink Professionals and Therapy Services, LLC
• Lifelink Therapy Services, LLC
• Lifetime Dental Care of Michigan, P.C.
• Lighthouse Pediatric Therapy
• Olivia Lile
• Margarete Liles, CRNA
• Shahana Hussain Lima
• Limitless Dental Care PLLC

• Developmental - Behavioral Pediatrics Physician in Warren, MI
• Providers in Warren, MI by specialty
• Developmental - Behavioral Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.