Individual provider Active NPI

Nicole Rondini Korbecki, OTR

  • Occupational Therapist
  • Commerce Township, MI
National Provider Identifier
1497932875
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201006875 Issued in MI
Practice address
2075 E West Maple Rd
Suite B204
Commerce Township, MI 48390-3816
Phone
(248) 926-0909
Fax
(248) 624-3332
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 5201006875 MI Primary

Addresses

Primary practice location

2075 E West Maple Rd
Suite B204
Commerce Township, MI 48390-3816

Mailing address

2075 E West Maple Rd
Suite B204
Commerce Township, MI 48390-3816
Phone (248) 926-0909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106000983 MI Practitioner - Occupational Therapist in Private Practice 2365774627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Skills Village PLLCGroup PAC ID 2860624103, 7 clinicians
Michigan Orthopaedic Physical TherapyGroup PAC ID 8325294614, 13 clinicians

Practice addresses (Care Compare)

25900 Greenfield Rd
Suite 100
Oak Park, MI 48237-1297
Phone (248) 788-4300

4401 W 13 Mile Rd
Royal Oak, MI 48073-6516
Phone (616) 835-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201006875MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Skills Village, PLLC CurrentSince Nov 10, 2025 Accepting new patients
Michigan Orthopedic Rehabilitation LLC CurrentSince Sep 25, 2019 Accepting new patients
Detroit Institute for Children Past Accepting new patients
Detroit Institute for Children Past Accepting new patients

Locations

25900 Greenfield Rd
Ste 10
Oak Park, MI 48237
Phone (248) 788-4300

25900 Greenfield Rd
Ste 100
Oak Park, MI 48237
Phone (248) 788-4300

4401 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 566-3525

Organizations & group practices 5

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1497932875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD",
            "address_2": "SUITE B204",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816",
            "telephone_number": "248-926-0909",
            "fax_number": "248-624-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD",
            "address_2": "SUITE B204",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816",
            "telephone_number": "248-926-0909",
            "fax_number": "248-624-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBECKI",
        "first_name": "NICOLE",
        "middle_name": "RONDINI",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.