Individual provider Active NPI

Nicole Lyn Springer, OTR

  • Occupational Therapist
  • New Buffalo, MI
National Provider Identifier
1710184528
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004489 Issued in MI
Practice address
18853 US Highway 12 Ste 3
New Buffalo, MI 49117-8100
Phone
(269) 235-9821
Fax
(269) 359-3735
NPI assigned
Jun 27, 2007
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 5201004489 MI Primary

Addresses

Primary practice location

18853 US Highway 12 Ste 3
New Buffalo, MI 49117-8100

Mailing address

18853 US Highway 12
New Buffalo, MI 49117-8100
Phone (269) 235-9821

Other practice location 1

1203 Washington St
LA Porte, IN 46350-3221
Phone (219) 325-5424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208001537 MI Practitioner - Occupational Therapist in Private Practice 7719470780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1030 Miners Rd
Suite C
Saint Joseph, MI 49085-9709

212 Maple St
Three Oaks, MI 49128-1137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201004489MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Therapy Centers Inc Occupational Therapist CurrentSince Dec 2, 2025 Accepting new patients

Locations

18853 US Highway 12
Ste 3
New Buffalo, MI 49117
Phone (269) 235-9821

1030 Miners Rd
Ste C
Saint Joseph, MI 49085
Phone (269) 235-9083

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, 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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1710184528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18853 US HIGHWAY 12",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491178100",
            "telephone_number": "269-235-9821",
            "fax_number": "269-359-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18853 US HIGHWAY 12 STE 3",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491178100",
            "telephone_number": "269-235-9821",
            "fax_number": "269-359-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Washington St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503221",
            "country_code": "US",
            "telephone_number": "219-325-5424",
            "fax_number": "219-326-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "NICOLE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Buffalo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.