Individual provider Active NPI

Sonja Dawn Vigil

  • Occupational Therapist
  • Livonia, MI
National Provider Identifier
1609115658
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007964 Issued in MI
Practice address
35339 Richland St
Livonia, MI 48150-5619
Phone
(734) 751-8910
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Hills Inc. 3 clinicians

Practice addresses (Care Compare)

1200 Earhart Rd
Ann Arbor, MI 48105-2768
Phone (734) 454-5946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922000391 MI Practitioner - Occupational Therapist in Private Practice 9537476650 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201007964MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Hills, Inc. Occupational Therapist CurrentSince Feb 22, 2015 Accepting new patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Sep 6, 2025 Accepting new patients

Locations

15475 Middlebelt Rd
Livonia, MI 48154
Phone (734) 427-9175

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201007964 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

35339 Richland St
Livonia, MI 48150-5619

Mailing address

35339 Richland St
Livonia, MI 48150-5619
Phone (734) 751-8910

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2015.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1609115658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35339 RICHLAND ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505619",
            "telephone_number": "734-751-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35339 RICHLAND ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505619",
            "telephone_number": "734-751-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "SONJA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.