Individual provider Active NPI

Amelia Gangler

  • Occupational Therapist
  • Lapeer, MI
National Provider Identifier
1255027371
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014193 Issued in MI
Practice address
1100 W Newark Rd
Lapeer, MI 48446-9449
Phone
(810) 358-0373
NPI assigned
Apr 12, 2023
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X 5201014193 MI Primary

Addresses

Primary practice location

1100 W Newark Rd
Lapeer, MI 48446-9449

Mailing address

1100 W Newark Rd
Lapeer, MI 48446-9449

Other practice location 1

1870 W Clarkston Rd
Lake Orion, MI 48362-2269
Phone (810) 358-0373

Other practice location 2

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 671-5738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410001497 MI Practitioner - Occupational Therapist in Private Practice 9133643232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Therapy Center LLC Occupational Therapist CurrentSince Mar 31, 2025 Accepting new patients

Locations

1870 W Clarkston Rd
Lake Orion, MI 48362
Phone (810) 358-0373

1100 W Newark Rd
Lapeer, MI 48446
Phone (810) 358-0373

2240 N Lapeer Rd
Lapeer, MI 48446
Phone (810) 358-0373

Organizations & group practices 1

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1255027371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469449",
            "telephone_number": "810-358-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 W Clarkston Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622269",
            "country_code": "US",
            "telephone_number": "810-358-0373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1447 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024727",
            "country_code": "US",
            "telephone_number": "989-671-5738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGLER",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.