Lauren Kimberlee Bibeau, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Highland, IN

NPI 1447645874 · NPPES record last updated May 20, 2020

Key facts

NPI
1447645874
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32002807A (IN)
Practice address
2906 Highway Ave
Highland, IN 46322-1631
Phone
(219) 513-8311
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32002807AINMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Therapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32002807A IN Yes

Addresses

Primary practice location

2906 Highway Ave
Highland, IN 46322-1631

Mailing address

7513 W 128TH LN
Cedar Lake, IN 46303-8882
Phone (708) 296-6908

Other names

  • Lauren Mueller Former name

Other providers in Highland, IN

All providers in Highland, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.