Individual provider Active NPI

Lianna Reatini

  • Occupational Therapy Assistant
  • Comstock Park, MI
National Provider Identifier
1124931753
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202007703 Issued in MI
Practice address
3825 Oakridge Ave NW
Comstock Park, MI 49321-9004
Phone
(616) 254-5700
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202007703 MI Primary

Addresses

Primary practice location

3825 Oakridge Ave NW
Comstock Park, MI 49321-9004

Mailing address

125 Luray Ave NW
Grand Rapids, MI 49504-5940

Other practice location 1

6101 Pine Island Dr NE
Comstock Park, MI 49321-9541
Phone (616) 254-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1124931753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LURAY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 OAKRIDGE AVE NW",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219004",
            "telephone_number": "616-254-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 Pine Island Dr NE",
            "address_purpose": "LOCATION",
            "city": "Comstock Park",
            "state": "MI",
            "postal_code": "493219541",
            "country_code": "US",
            "telephone_number": "616-254-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REATINI",
        "first_name": "LIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comstock Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.