Active NPI
Tamela S Brouillette, COTA
- Occupational Therapist
- Lansing, MI
National Provider Identifier
1992937205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007640
- Practice address
- 333 Dahlia Dr
Lansing, MI 48911-3789 - Phone
- (517) 755-1120
- NPI assigned
- Aug 20, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201007640 | MI | Primary |
Addresses
Primary practice location
333 Dahlia Dr
Lansing, MI 48911-3789
Mailing address
9587 E Vermontville Hwy
Dimondale, MI 48821-8766
Phone (517) 582-0948
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202000777 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1992937205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9587 E VERMONTVILLE HWY",
"city": "DIMONDALE",
"state": "MI",
"postal_code": "488218766",
"telephone_number": "517-582-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 DAHLIA DR",
"city": "LANSING",
"state": "MI",
"postal_code": "489113789",
"telephone_number": "517-755-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUILLETTE",
"first_name": "TAMELA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.