Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CANDACE PETERSON MS, OTRL
NPI 1124421771
Occupational Therapist - Pediatrics in Plymouth, MI

Active since September 26, 2014
14969 FARMBROOK DR, PLYMOUTH, MI 48170(616) 308-0719 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Jun 9, 2022, Aug 14, 2018 (3 updates tracked since 2018).

About Candace Peterson Ms, Otrl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE PETERSON MS, OTRL (NPI 1124421771) is an individual pediatrics provider in Plymouth, Michigan, licensed in Michigan (5201008338) and active in the NPI registry since September 2014. She maintains a secondary practice location in Farmington Hills.

NPPES Registry Identity

NPI1124421771
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameCANDACE PETERSONCredential: MS, OTRL
Location Address14969 FARMBROOK DRPlymouth, MI 48170-2745
Mailing Address39300 W 12 Mile Rd Ste 105Farmington Hills, MI 48331-3140 · (248) 719-7002
Sole ProprietorNo
Enumeration DateSeptember 26, 2014
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1124421771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License Licensed in MI · 5201008338
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
14969 FARMBROOK DR, Plymouth, MI 48170

Secondary Practice Location 1

Location 139300 W 12 Mile Rd Ste 105Farmington Hills, MI 48331-3140 · Phone (616) 308-0719

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Peterson's NPI number?

The NPI number for Candace Peterson is 1124421771. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Candace Peterson located?

Candace Peterson practices at 14969 Farmbrook Dr, Plymouth, MI 48170. The listed phone number is (616) 308-0719.

What is Candace Peterson's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

What insurance does Candace Peterson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Candace Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candace Peterson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.