Individual provider Active NPI

Lauren Buckner, OTR/L

  • Pediatric Occupational Therapist
  • Novi, MI
National Provider Identifier
1750135257
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201013749 Issued in MI
Practice address
44225 W 12 Mile Rd Ste C-106
Novi, MI 48377-2640
Phone
(248) 277-3005
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201013749 MI Primary

Addresses

Primary practice location

44225 W 12 Mile Rd Ste C-106
Novi, MI 48377-2640

Mailing address

12068 Helen St
Southgate, MI 48195-1886
Phone (313) 670-6982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Therapy, LLC CurrentSince Mar 17, 2025 Accepting new patients
Ivyrehab Michigan, LLC CurrentSince Apr 26, 2024 Accepting new patients

Locations

2636 S Milford Rd
Highland, MI 48357
Phone (248) 684-9610

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

44225 W Twelve Mile Rd
Ste C-106
Novi, MI 48377
Phone (248) 277-3005

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

Organizations & group practices 2

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": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1750135257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12068 HELEN ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951886",
            "telephone_number": "313-670-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44225 W 12 MILE RD STE C-106",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772640",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201013749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.