Colette Katherine Brzezinski, OTRL
Individual provider Active NPI Occupational Therapist · Mason, MI
NPI 1881257921 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1881257921
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201010503 (MI)
- Practice address
- 3181 Sandhill Rd
Mason, MI 48854-9425 - Phone
- (517) 455-0254
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191119002505 | MI | Practitioner - Occupational Therapist in Private Practice | 0446682074 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Rehabilitation Alliance, Inc. | Occupational Therapist | Current |
Accepting new patients |
Locations
137 S Marketplace Blvd
Lansing, MI 48917
Phone (517) 336-6060
3181 Sandhill Rd
Mason, MI 48854
Phone (517) 336-6060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010503 | MI | Yes |
Addresses
Primary practice location
3181 Sandhill Rd
Mason, MI 48854-9425
Mailing address
3181 Sandhill Rd
Mason, MI 48854-9425
Phone (586) 549-4866
Other practice location 1
15700 N Haggerty Rd
Plymouth, MI 48170-4897
Phone (248) 468-1954
Other practice location 2
36975 Five Mile Rd
Livonia, MI 48154-1871
Phone (734) 464-0600
Other providers in Mason, MI
- Branch Counseling LLC
- Vanity Bronson
- Laura Leigh Broughton
- Makayla Brower
- Emilie Jo Brzak
- Evan Buckner
- Alphonso Burch
- Arduth Maureen Burgess
- Allison Marie Burns
- Daniel Thomas Burns
All providers in Mason, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.