Individual provider Active NPI

Joel Permoda Mann, OTR

  • Physical Rehabilitation Occupational Therapist
  • Lansing, MI
National Provider Identifier
1174024525
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
5201007608 Issued in MI
Practice address
1000 N Homer St
Lansing, MI 48912-4903
Phone
(517) 993-5815
Fax
(517) 394-7716
NPI assigned
Feb 21, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 5201007608 MI Primary

Addresses

Primary practice location

1000 N Homer St
Lansing, MI 48912-4903

Mailing address

511 Westmoreland Ave
Lansing, MI 48915-1972
Phone (517) 749-0745

Other practice location 1

3860 Dobie Rd
Okemos, MI 48864-3704
Phone (517) 381-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529000314 MI Practitioner - Occupational Therapist in Private Practice 7618496084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201007608MIMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Care LLC Physical Rehabilitation CurrentSince Apr 29, 2025 Accepting new patients
Orthopaedic Specialist of Lansing PLLC CurrentSince Apr 29, 2025 Accepting new patients

Locations

1000 N Homer St
Lansing, MI 48912
Phone (517) 394-1234

15945 Wood Rd
Lansing, MI 48906
Phone (517) 394-1234

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174024525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WESTMORELAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151972",
            "telephone_number": "517-749-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N HOMER ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124903",
            "telephone_number": "517-993-5815",
            "fax_number": "517-394-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Dobie Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643704",
            "country_code": "US",
            "telephone_number": "517-381-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "JOEL",
        "middle_name": "PERMODA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201007608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.