Individual provider Active NPI

Alexis Lynn Rau, MSOT, OTRL

  • Occupational Therapist
  • Dearborn, MI
National Provider Identifier
1326605684
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201012816 Issued in MI
Practice address
20251 Carlysle St
Dearborn, MI 48124-3804
Phone
(248) 617-0345
NPI assigned
May 22, 2019
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Occupational Therapist 225X00000X 5201012816 MI Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

20251 Carlysle St
Dearborn, MI 48124-3804

Mailing address

44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085
Phone (313) 278-4601

Other practice location 1

44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085
Phone (313) 278-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Rehab LLCGroup PAC ID 5799122032, 29 clinicians

Practice addresses (Care Compare)

7376 Glen Eagle Dr
Bay City, MI 48706-9316
Phone (989) 992-1367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201012816MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Game Changer Pediatric Therapy Services LLC PastSince May 19, 2021 Accepting new patients

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1326605684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44670 ANN ARBOR RD W STE 130",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704085",
            "telephone_number": "313-278-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 CARLYSLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243804",
            "telephone_number": "248-617-0345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44670 Ann Arbor Rd W Ste 130",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704085",
            "country_code": "US",
            "telephone_number": "313-278-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAU",
        "first_name": "ALEXIS",
        "middle_name": "LYNN",
        "credential": "MSOT, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201012816",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.