SUSAN GARDNER
NPI 1194136333
Occupational Therapist in Lansing, MI

Active since May 09, 2014
2100 E PROVINCIAL HOUSE DR, LANSING, MI 48910(517) 272-4029 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Gardner NPPES

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

SUSAN GARDNER (NPI 1194136333) is an individual occupational therapist in Lansing, Michigan, licensed in Michigan (5201006464) and active in the NPI registry since May 2014. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1194136333
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSUSAN GARDNER
Location Address2100 E PROVINCIAL HOUSE DRLansing, MI 48910-4884
Mailing Address2100 E Provincial House DrLansing, MI 48910-4884 · (517) 272-4029
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 9, 2014
✔ NPI 1194136333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MI · 5201006464
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2100 E PROVINCIAL HOUSE DR, Lansing, MI 48910

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Gardner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062907462
PECOS Enrollment IDI20251223002187

Medicare Billing Reassignment

Medicare enrollment records show Susan Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
5935 SHATTUCK RD
Saginaw, MI 48603
  • Reassigned Medicare billing, Michigan enrollment
  • 107 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910
Occupational Therapist
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910
Skilled Nursing Facility
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910
Occupational Therapist
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910
Occupational Therapist
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910
Speech-Language Pathologist
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910
Occupational Therapist
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910
Occupational Therapist
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910

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 Susan Gardner's NPI number?

The NPI number for Susan Gardner is 1194136333. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Susan Gardner located?

Susan Gardner practices at 2100 E Provincial House Dr, Lansing, MI 48910. The listed phone number is (517) 272-4029.

What is Susan Gardner's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Susan Gardner enrolled in Medicare?

Yes. Susan Gardner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Gardner reassigns Medicare benefits to Tmi East, Inc. (Saginaw, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Gardner was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.