NPIMap

Organization Active NPI

Therapeutic Advantage LLC

  • Pediatric Occupational Therapist
  • Farmington Hills, MI
National Provider Identifier
1184038341
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201008046 Issued in MI
Legal business name
THERAPEUTIC ADVANTAGE LLC
Practice address
27555 Farmington Rd Ste 125
Farmington Hills, MI 48334-3376
Phone
(248) 893-6192
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Jessica Ravineala, OTRLNPI 1447531769
Title
Occupational Therapist
Phone
(616) 890-6997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 5201008046 MI Primary

Addresses

Primary practice location

27555 Farmington Rd Ste 125
Farmington Hills, MI 48334-3376

Mailing address

27555 Farmington Rd Ste 125
Farmington Hills, MI 48334-3376
Phone (248) 893-6192

Other practice location 1

560 Kirts Blvd Ste 107
Troy, MI 48084-4141
Phone (248) 817-2484

Other names 1

  • The Therapy SPOT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140725000649 MI Part B Supplier - Clinic/Group Practice 8729204896 Receives reassigned benefits from 12 practitioners
Practice locations: Farmington Hills, MI; Troy, MI

National Provider Directory

National Provider Directory

Locations

30903 W 10 Mile Rd
Ste B
Farmington Hills, MI 48336
Phone (248) 893-6192

27555 Farmington Rd
Ste 125
Farmington Hills, MI 48334
Phone (248) 893-6192

560 Kirts Blvd
Ste 107
Troy, MI 48084
Phone (248) 817-2484

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1184038341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 FARMINGTON RD STE 125",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343376",
            "telephone_number": "248-893-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 FARMINGTON RD STE 125",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343376",
            "telephone_number": "248-893-6192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Kirts Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844141",
            "country_code": "US",
            "telephone_number": "248-817-2484",
            "fax_number": "248-457-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPEUTIC ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "RAVINEALA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "616-890-6997",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201008046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapy SPOT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.