Lori Marie Kodan, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201002054 Issued in MI

Practice address

1483 Ravineview CT
Bloomfield Hills, MI 48304-1262

Phone

(248) 225-9388

NPI assigned

Aug 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1407733082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 RAVINEVIEW CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041262",
            "telephone_number": "248-225-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 RAVINEVIEW CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041262",
            "telephone_number": "248-225-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODAN",
        "first_name": "LORI",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201002054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KMS Mental Health and Wellness (Bloomfield Behavioral Health)
• Anne Marie Knapke, NP
• Elizabeth Mary Knisely
• Erica Elyse Knowles, NP
• Walter Knysz III, M.D.
• Mary Kollo
• Tamara Kolton, PH.D.
• Jordan Anne Kondrat, PT, DPT
• Patricia A Kondratenko, D.O.
• Marie Eileen Kopmeyer, M.P.T

• Pediatric Occupational Therapist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.