Individual provider Active NPI

Brittany Lavere

  • Occupational Therapist
  • Madison Heights, MI
National Provider Identifier
1235953761
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014046 Issued in MI
Practice address
30701 Barrington St Ste 150
Madison Heights, MI 48071-5135
Phone
(248) 965-3916
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 5201014046 MI Primary

Addresses

Primary practice location

30701 Barrington St Ste 150
Madison Heights, MI 48071-5135

Mailing address

952 Bloomfield Village Blvd Apt D
Auburn Hills, MI 48326-3572
Phone (586) 242-0983

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211001614 MI Practitioner - Occupational Therapist in Private Practice 1658807821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201014046MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Skills Village, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Healing Haven Ancillary Services, LLC Past Accepting new patients

Locations

25900 Greenfield Rd
Ste 10
Oak Park, MI 48237
Phone (248) 788-4300

25900 Greenfield Rd
Ste 100
Oak Park, MI 48237
Phone (248) 788-4300

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.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1235953761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 BLOOMFIELD VILLAGE BLVD APT D",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263572",
            "telephone_number": "586-242-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 BARRINGTON ST STE 150",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715135",
            "telephone_number": "248-965-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERE",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.