Brandon Lubish, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009853 Issued in MI

Practice address

22811 W 7 Mile Rd
Detroit, MI 48219-1739

Phone

(313) 242-9100

NPI assigned

Mar 4, 2018

Last updated

Mar 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Tmi East, Inc.

  dba Everactive Therapy

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment NPD

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520121600000",
    "number": "1881196020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46505 CHALMERS DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446221",
            "telephone_number": "586-354-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191739",
            "telephone_number": "313-242-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBISH",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-04",
        "last_updated": "2018-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Yang Lu, MD
• Zoe Lu, MD
• Jorge Lim Lua, MD
• Aimee F Luat, M.D.
• Michael R. Lubetsky, M.D.
• Maya Lubus
• Elizabeth A Lucarelli, LCSW, LMSW
• Vito Lucarelli, MD
• Lucas Family Home Care LLC
• Lucas Perry Dental Group

• Occupational Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; 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.