Individual provider Active NPI

Alicia Buhnerkemper

  • Occupational Therapist
  • Brownstown Township, MI
National Provider Identifier
1669039350
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014254 Issued in MI
Practice address
23537 Telegraph Rd
Brownstown Township, MI 48134-9330
Phone
(313) 278-4601
NPI assigned
May 29, 2019
Reactivated
Jul 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X
Occupational Therapist 225X00000X 5201014254 MI Primary

Addresses

Primary practice location

23537 Telegraph Rd
Brownstown Township, MI 48134-9330

Mailing address

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone (313) 406-5056

Other practice location 1

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 436-4476

Other practice location 2

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone (313) 406-5056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826003409 MI Practitioner - Occupational Therapist in Private Practice 8729588405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21151 S Western Ave
Suite B22
Torrance, CA 90501-1724

44670 Ann Arbor Rd W
Suite 130
Plymouth, MI 48170-4085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Speech and Sensory Center, Inc Occupational Therapist CurrentSince Jun 21, 2025 Accepting new patients

Locations

23537 Telegraph Rd
Flat Rock, MI 48134

44670 Ann Arbor Rd W
Ste 130
Plymouth, MI 48170
Phone (424) 295-8088

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1669039350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19853 OUTER DR STE 110",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242044",
            "telephone_number": "313-406-5056",
            "fax_number": "248-712-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23537 TELEGRAPH RD",
            "city": "BROWNSTOWN TOWNSHIP",
            "state": "MI",
            "postal_code": "481349330",
            "telephone_number": "313-278-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27777 Inkster Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483345326",
            "country_code": "US",
            "telephone_number": "248-436-4476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19853 Outer Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242044",
            "country_code": "US",
            "telephone_number": "313-406-5056",
            "fax_number": "248-712-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUHNERKEMPER",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "deactivation_date": "2025-06-21",
        "reactivation_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.