Individual provider Active NPI

McKenzie Ann Peters, OTD, OTRL

  • Occupational Therapist
  • Ann Arbor, MI
National Provider Identifier
1982595146
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201014266 Issued in MI
Practice address
635 S Maple Rd Ste 2
Ann Arbor, MI 48103-3838
Phone
(734) 369-6002
Fax
(734) 315-0426
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201014266 MI Primary

Addresses

Primary practice location

635 S Maple Rd Ste 2
Ann Arbor, MI 48103-3838

Mailing address

312 Ave de Lafayette
Monroe, MI 48162-3559
Phone (734) 625-1786

Other practice location 1

40500 Ann Arbor Rd E
Plymouth, MI 48170-4483
Phone (734) 369-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806000344 MI Practitioner - Occupational Therapist in Private Practice 3072021443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Therapy Works, LLC Occupational Therapist CurrentSince Jul 15, 2025 Accepting new patients

Locations

635 S Maple Rd
Ste 2
Ann Arbor, MI 48103
Phone (734) 369-6002

40500 Ann Arbor Rd E
Ste 200
Plymouth, MI 48170
Phone (734) 369-6002

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1982595146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 AVE DE LAFAYETTE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623559",
            "telephone_number": "734-625-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S MAPLE RD STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033838",
            "telephone_number": "734-369-6002",
            "fax_number": "734-315-0426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40500 Ann Arbor Rd E",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704483",
            "country_code": "US",
            "telephone_number": "734-369-6002",
            "fax_number": "734-315-0426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MCKENZIE",
        "middle_name": "ANN",
        "credential": "OTD, OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.