Individual provider Active NPI

Leanne Ma, OTRL

  • Occupational Therapist
  • Ann Arbor, MI
National Provider Identifier
1336649169
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010027 Issued in MI
Practice address
5060 Jackson Rd Ste D
Ann Arbor, MI 48103-1867
Phone
(734) 627-8001
NPI assigned
Feb 19, 2018
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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 5201010027 MI Primary

Addresses

Primary practice location

5060 Jackson Rd Ste D
Ann Arbor, MI 48103-1867

Mailing address

101 Ponds View Dr
Ann Arbor, MI 48103-6606
Phone (248) 705-6773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809001964 MI Practitioner - Occupational Therapist in Private Practice 1052715323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Skills Community Rehabilitation & Associates LLC CurrentSince Aug 2, 2021 Accepting new patients
Life Skills Community Rehabilitation & Associates LLC Occupational Therapist CurrentSince Aug 2, 2021 Accepting new patients
Global Center for Autism Services, LLC Occupational Therapist Past Accepting new patients

Locations

5060 Jackson Rd
Ste D
Ann Arbor, MI 48103
Phone (734) 627-8001

5840 Interface Dr
Ste 400
Ann Arbor, MI 48103
Phone (734) 627-8001

Organizations & group practices 3

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1336649169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PONDS VIEW DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036606",
            "telephone_number": "248-705-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031867",
            "telephone_number": "734-627-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LEANNE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.