Active NPI
Brittany Lavere
- Occupational Therapist
- Madison Heights, MI
National Provider Identifier
1235953761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201014046
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201014046 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Skills Village, PLLC | Current | 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.
-
- Community/Behavioral Health Agency
- Oak Park, MI
- NPI 1629316815
-
- Pediatric Occupational Therapist
- Madison HTS, MI
- NPI 1063101384
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.