Active NPI
Theresa Lynn Sabens, OTRL
- Occupational Therapist
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005929
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT3738 | Medicaid | AK | |
| 1023596 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1459 | AK | MD | Occupational Therapist |
| 5201005929 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Motorwerks Physical Therapy, LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Shelby Township, MI
- NPI 1922532571
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.