Sensational Life Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SENSATIONAL LIFE THERAPY, LLC

Practice address

520 N Main St Ste 101
Cheboygan, MI 49721-1171

Phone

(231) 289-9689

Fax

(231) 525-3176

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Tara Hendrix, M.S. OTR/LNPI 1457770869

Title

Occupational Therapist/ Owner

Phone

(810) 516-4631

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Tara Hendrix, M.S, OTR/L

  • Pediatric Occupational Therapist
  • Cheboygan, MI
  • NPI 1457770869

  Pediatrics

  Medicare reassignment NPD Authorized official
• Sadie Hutchison, OTRL

  • Pediatric Occupational Therapist
  • Cheboygan, MI
  • NPI 1720791205

  Pediatrics

  NPD

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1144854316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 101",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211171",
            "telephone_number": "231-289-9689",
            "fax_number": "231-525-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 101",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211171",
            "telephone_number": "231-289-9689",
            "fax_number": "231-525-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONAL LIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "810-516-4631",
        "authorized_official_credential": "M.S. OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457770869",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott a Nemec DO PC
• Alan Vern Scott, LMSW
• Ashley Nicole Scott, USCG IDHS
• Shaney L Scott, M.D.
• Janice Seccia, PHARM.D. BCPS
• Julie Ann Shepler, PHARMD
• Danielle M Siemen, DPT
• Jerome E Siudara, D.O.
• Kristin Skiera, DPT
• Matthew Slack

• Pediatric Occupational Therapist in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.