Individual provider Active NPI

Laura Polakowski

  • Occupational Therapist
  • Laurium, MI
National Provider Identifier
1679945844
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013494 Issued in MI
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

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
110149AKMDOccupational Therapist
117263TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Keweenaw CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Keweenaw CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
All for Kids Pediatric Therapy Clinic PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.