Lauren Petroff, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201009414 Issued in MI

Practice address

31815 Southfield Rd Ste 15
Beverly Hills, MI 48025-5471

Phone

(248) 885-8240

NPI assigned

Apr 20, 2009

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Small Talk Centers PLLC

  • Speech-Language Pathologist
  • Beverly Hills, MI
  • NPI 1356876288
  NPD

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1740424803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD STE 15",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD STE 15",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471",
            "telephone_number": "248-885-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1243 Blue Heron Dr",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "MI",
            "postal_code": "483573909",
            "country_code": "US",
            "telephone_number": "231-349-1942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3445 Gardner Ave",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480721405",
            "country_code": "US",
            "telephone_number": "248-629-0193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROFF",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009414",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201009414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Esther Parris, PA-C
• Patrick J Wiater MD,PLLC
• Carol Jean Paul
• Pearl Mind & Wellness LLC
• Deborah Kay Petersen-Brand
• Pierce Street Dental
• Trista Marie Platz, D.C.
• Plymouth Physical Therapy Specialists Limited Partnership
• Karoline Suzanne Puder, MD
• Chanel Qarana

• Pediatric Occupational Therapist in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.