Individual provider Active NPI

Theresa Lynn Sabens, OTRL

  • Occupational Therapist
  • Shelby Township, MI
National Provider Identifier
1972654630
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005929 Issued in MI
Practice address
6300 22 Mile Rd Ste 5
Shelby Township, MI 48317-2106
Phone
(586) 330-0872
Fax
(866) 630-0604
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1459 AK
Occupational Therapist 225X00000X 5201005929 MI Primary

Addresses

Primary practice location

6300 22 Mile Rd Ste 5
Shelby Township, MI 48317-2106

Mailing address

6300 22 Mile Rd
Suite 5
Shelby Township, MI 48317
Phone (586) 330-0872

Other practice location 1

35905 Jefferson
Richmond, MI 48062-2930
Phone (907) 978-9638

Other identifiers 2

IdentifierTypeStateIssuer
OT3738MedicaidAK
1023596MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1459AKMDOccupational Therapist
5201005929MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Motorwerks Physical Therapy, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

4410 W 13 Mile Rd
Ste 5
Royal Oak, MI 48073

50920 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 307-4757

6300 22 Mile Rd
Ste 5
Shelby Township, MI 48317
Phone (586) 330-0872

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972654630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 22 MILE RD",
            "address_2": "SUITE 5",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-330-0872",
            "fax_number": "866-630-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 22 MILE RD STE 5",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172106",
            "telephone_number": "586-330-0872",
            "fax_number": "866-630-0604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35905 Jefferson",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "MI",
            "postal_code": "480622930",
            "country_code": "US",
            "telephone_number": "907-978-9638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABENS",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1459",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT3738",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023596",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.