Emilie Jo Brzak, MS, OTRL
Individual provider Active NPI Occupational Therapist · Mason, MI
NPI 1215547740 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1215547740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201010674 (MI)
- Practice address
- 3181 Sandhill Rd
Mason, MI 48854-9425 - Phone
- (517) 336-6060
- Fax
- (517) 336-6050
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201010674 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010674 | MI | Yes |
Addresses
Primary practice location
3181 Sandhill Rd
Mason, MI 48854-9425
Mailing address
608 E Higham St
Saint Johns, MI 48879-1610
Phone (517) 648-2979
Other names
- Emilie Sickles
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Server | Direct |
Other providers in Mason, MI
- Kristine Brady
- Branch Counseling LLC
- Vanity Bronson
- Laura Leigh Broughton
- Makayla Brower
- Colette Katherine Brzezinski
- Evan Buckner
- Alphonso Burch
- Arduth Maureen Burgess
- Allison Marie Burns
All providers in Mason, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.