Individual provider Active NPI

Deborah Sue Meitzner, OTRL

  • Occupational Therapist
  • Sterling Heights, MI
National Provider Identifier
1306347455
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004511 Issued in MI
Practice address
44300 Dequindre Rd
Sterling Heights, MI 48314-1003
Phone
(248) 964-0700
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 5201004511 MI Primary

Addresses

Primary practice location

44300 Dequindre Rd
Sterling Heights, MI 48314-1003

Mailing address

5712 Larkins Dr
Troy, MI 48085-3854

Other practice location 1

26025 Lahser Rd
Southfield, MI 48033-2606
Phone (248) 663-1910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101001259 MI Practitioner - Occupational Therapist in Private Practice 9931576154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Practice addresses (Care Compare)

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

26025 Lahser Rd
FL 2
Southfield, MI 48033-2606
Phone (248) 663-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5201004511MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC CurrentSince Sep 15, 2022 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Sep 22, 2022 Accepting new patients
Team Rehabilitation Services, LLC Occupational Therapist CurrentSince Sep 15, 2022 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

26025 Lahser Rd
Southfield, MI 48033
Phone (248) 663-1900

75 W Square Lake Rd
Troy, MI 48098
Phone (248) 688-9004

Organizations & group practices 11

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1306347455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 LARKINS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44300 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141003",
            "telephone_number": "248-964-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26025 Lahser Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1910",
            "fax_number": "248-849-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEITZNER",
        "first_name": "DEBORAH",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.