Active NPI
Laura Polakowski
- Occupational Therapist
- Laurium, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201013494
- Practice address
- 205 Osceola St
Laurium, MI 49913-2134 - Phone
- (906) 337-6500
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110149 | AK | |
| Occupational Therapist | 225X00000X | 117263 | TX | |
| Occupational Therapist | 225X00000X | 5201013494 | MI | Primary |
Addresses
Primary practice location
205 Osceola St
Laurium, MI 49913-2134
Mailing address
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129002465 | MI | Practitioner - Occupational Therapist in Private Practice | 6901254036 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110149 | AK | MD | Occupational Therapist |
| 117263 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| All for Kids Pediatric Therapy Clinic | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
MI
-
- Rural Health Clinic/Center
- Iron River, MI
- NPI 1306344783
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
-
- Critical Access Hospital
- Laurium, MI
- NPI 1326115569
-
- Pediatric Occupational Therapist
- Anchorage, AK
- NPI 1437370855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1679945844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 OSCEOLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132134",
"telephone_number": "906-337-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 OSCEOLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132134",
"telephone_number": "906-337-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAKOWSKI",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "110149",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117263",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201013494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurium, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.