Individual provider Active NPI

Emily Lipa

  • Occupational Therapist
  • Kingsley, MI
National Provider Identifier
1396264768
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010525 Issued in MI
Practice address
4040 Beacon St
Kingsley, MI 49649-9548
Phone
(231) 263-1350
NPI assigned
Sep 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5201010525 MI Primary

Addresses

Primary practice location

4040 Beacon St
Kingsley, MI 49649-9548

Mailing address

4040 Beacon St
Kingsley, MI 49649-9548
Phone (231) 263-1350

Other practice location 1

3301 Ridgecrest Dr.
Midland, MI 48642
Phone (989) 839-2290

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201010525MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse, Inc. PastSince Jun 27, 2021 Accepting new patients
ABA Connections of Central Michigan, LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396264768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BEACON ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499548",
            "telephone_number": "231-263-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BEACON ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499548",
            "telephone_number": "231-263-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Ridgecrest Dr.",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "48642",
            "country_code": "US",
            "telephone_number": "989-839-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPA",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-23",
        "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": "5201010525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.