NPIMap

Organization Active NPI

Great Lakes Neuro-Rehabilitation Services

  • Occupational Therapist
  • Flushing, MI
National Provider Identifier
1891933503
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004988 Issued in MI
Legal business name
GREAT LAKES NEURO-REHABILITATION SERVICES
Practice address
2237 Western Meadows Dr
Flushing, MI 48433-9412
Phone
(810) 625-0785
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Mrs. Gay Janel Landenberg, MOT, OTRNPI 1568676997
Title
President
Phone
(810) 625-0785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201004988 MI Primary

Addresses

Primary practice location

2237 Western Meadows Dr
Flushing, MI 48433-9412

Mailing address

2237 Western Meadows Dr
Flushing, MI 48433-9412
Phone (810) 625-0785

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1891933503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 WESTERN MEADOWS DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339412",
            "telephone_number": "810-625-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 WESTERN MEADOWS DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339412",
            "telephone_number": "810-625-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES NEURO-REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "LANDENBERG",
        "authorized_official_first_name": "GAY",
        "authorized_official_middle_name": "JANEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-625-0785",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.