Individual provider Active NPI

Amy L Wisenbaugh, OTD, OTR/L

  • Occupational Therapist
  • Lansing, MI
National Provider Identifier
1639923113
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013867 Issued in MI
Practice address
6209 W Saginaw Hwy Ste a&B
Lansing, MI 48917-2491
Phone
(800) 974-4378
Fax
(630) 515-1536
NPI assigned
Apr 12, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 5201013867 MI Primary

Addresses

Primary practice location

6209 W Saginaw Hwy Ste a&B
Lansing, MI 48917-2491

Mailing address

24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Phone (800) 974-4378

Other practice location 1

2520 E Jolly Rd Ste C
Lansing, MI 48910-5729
Phone (800) 974-4378 ext. 1910

Other practice location 2

1218 E Grand River Rd
Williamston, MI 48895-9335
Phone (800) 974-4378 ext. 2030

Other practice location 3

4660 S Hagadorn Rd Ste 160
East Lansing, MI 48823-6804
Phone (800) 974-4378 ext. 1874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501000469 MI Practitioner - Occupational Therapist in Private Practice 9739529207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Recovery Project, LLCGroup PAC ID 9739154311, 33 clinicians

Practice addresses (Care Compare)

3960 Patient Care Dr
Suite 117
Lansing, MI 48911-4279
Phone (517) 325-0996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings LLC Occupational Therapist CurrentSince Apr 28, 2024 Accepting new patients
The Recovery Project, LLC Occupational Therapist CurrentSince Oct 12, 2025 Accepting new patients
DPT Holdings LLC Occupational Therapist CurrentSince Apr 22, 2024 Accepting new patients
DPT Holdings LLC Occupational Therapist PastSince Apr 1, 2024 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

2520 E Jolly Rd
Ste C
Lansing, MI 48910
Phone (517) 306-4919

3960 Patient Care Dr
Ste 117
Lansing, MI 48911
Phone (517) 325-0996

6209 W Saginaw Hwy
Ste Ab
Lansing, MI 48917

11878 Hubbard St
Livonia, MI 48150
Phone (734) 953-1745

11878 Hubbard St
Ste 100
Livonia, MI 48150
Phone (734) 743-2909

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1639923113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 206",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448711",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W SAGINAW HWY STE A&B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172491",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 E Jolly Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489105729",
            "country_code": "US",
            "telephone_number": "800-974-4378 x1910",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 E Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "MI",
            "postal_code": "488959335",
            "country_code": "US",
            "telephone_number": "800-974-4378 x2030",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236804",
            "country_code": "US",
            "telephone_number": "800-974-4378 x1874",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISENBAUGH",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.