Individual provider Active NPI

Delanie Pavlichek

  • Occupational Therapist
  • Bay City, MI
National Provider Identifier
1760213755
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013859 Issued in MI
Practice address
2535 22ND St
Bay City, MI 48708-7612
Phone
(989) 670-4747
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 5201013859 MI Primary

Addresses

Primary practice location

2535 22ND St
Bay City, MI 48708-7612

Mailing address

2535 22ND St
Bay City, MI 48708-7612
Phone (989) 891-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902003706 MI Practitioner - Occupational Therapist in Private Practice 2163923947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3727 Wilder Rd
Suite a
Bay City, MI 48706-2367

5300 Bay Rd
Suite 300
Saginaw, MI 48604-2517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201013859MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Game Changer Pediatric Therapy Services LLC CurrentSince Jun 27, 2025 Accepting new patients

Locations

3727 Wilder Rd
Ste A
Bay City, MI 48706
Phone (866) 866-8984

3727 Wilder Rd
Bay City, MI 48706
Phone (989) 860-1425

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1760213755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 22ND ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087612",
            "telephone_number": "989-891-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 22ND ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087612",
            "telephone_number": "989-670-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLICHEK",
        "first_name": "DELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.