Sarah Marie Brubaker, OT

Individual provider Active NPI Occupational Therapist · Fenton, MI

NPI 1164044632 · NPPES record last updated Dec 7, 2022

Key facts

NPI
1164044632
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201010913 (MI)
Practice address
400 Rounds Dr
Fenton, MI 48430-1724
Phone
(810) 629-0530
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Northern PT, LLC Past
since May 1, 2020
Accepting new patients
Michigan Pediatric Therapy PLC Past
since Jan 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201010913 MI Yes

Addresses

Primary practice location

400 Rounds Dr
Fenton, MI 48430-1724

Mailing address

PO Box 419885
Boston, MA 02241-9885
Phone (888) 830-4125

Other names

  • Sarah Powell Former name

Other providers in Fenton, MI

All providers in Fenton, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.