Organization Active NPI

Guiding Light OT, LLC

  • Occupational Therapist
  • Warren, MI
National Provider Identifier
1952166019
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GUIDING LIGHT OT, LLC
Practice address
5217 Andriths Ave
Warren, MI 48091-1212
Phone
(586) 210-6787
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Dr. Kaitlyn Leigh Landess, OTD, OTR/LNPI 1235746249
Title
Owner/Occupational Therapist
Phone
(586) 210-6787

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

5217 Andriths Ave
Warren, MI 48091-1212

Mailing address

7408 Heatherwood Dr Apt 2a
Grand Blanc, MI 48439-7540
Phone (623) 680-9681

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": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1952166019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 HEATHERWOOD DR APT 2A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397540",
            "telephone_number": "623-680-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 ANDRITHS AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911212",
            "telephone_number": "586-210-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "LANDESS",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "586-210-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.