Individual provider Active NPI

Aubyn Sinclair Herbison, OTR/L

  • Occupational Therapist
  • Dearborn, MI
National Provider Identifier
1225730484
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013310 Issued in MI
Practice address
23500 Park St # 3B
Dearborn, MI 48124-2598
Phone
(313) 694-7700
NPI assigned
Mar 21, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201013310 MI Primary

Addresses

Primary practice location

23500 Park St # 3B
Dearborn, MI 48124-2598

Mailing address

23500 Park St # 3B
Dearborn, MI 48124-2598
Phone (313) 694-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002493 MI Practitioner - Occupational Therapist in Private Practice 1456719889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201013310MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reline Consulting LLC Occupational Therapist CurrentSince Apr 7, 2025 Accepting new patients
Reline Consulting LLC CurrentSince May 26, 2024 Accepting new patients

Locations

13760 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 224-2554

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1225730484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 PARK ST # 3B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242598",
            "telephone_number": "313-694-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 PARK ST # 3B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242598",
            "telephone_number": "313-694-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBISON",
        "first_name": "AUBYN",
        "middle_name": "SINCLAIR",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.