Provider Demographics
| NPI: | 1871722207 |
|---|---|
| Name: | LIFE SKILLS COMMUNITY REHABILITATION & ASSOCIATES LLC |
| Entity type: | Organization |
| Organization Name: | LIFE SKILLS COMMUNITY REHABILITATION & ASSOCIATES LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OCCUPATIONAL THERAPIST/OWNER/MEMBER |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | MEG |
| Authorized Official - Middle Name: | ANNE |
| Authorized Official - Last Name: | SCALING |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | OTR |
| Authorized Official - Phone: | 734-627-8001 |
| Mailing Address - Street 1: | 5060 JACKSON RD STE D |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ANN ARBOR |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48103-1867 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 734-627-8001 |
| Mailing Address - Fax: | 734-433-1989 |
| Practice Address - Street 1: | 5060 JACKSON RD STE D |
| Practice Address - Street 2: | |
| Practice Address - City: | ANN ARBOR |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48103-1867 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 734-627-8001 |
| Practice Address - Fax: | 734-627-8015 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2009-07-07 |
| Last Update Date: | 2023-03-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 225100000X, 225XE0001X, 225XE1200X, 225XF0002X, 225XG0600X, 225XH1200X, 225XH1300X, 225XL0004X, 225XN1300X, 225XP0019X, 225XP0200X | ||
| MI | 5201006162 | 225X00000X |
| MI | 5201005959 | 225X00000X |
| MI | 5201005344 | 225X00000X, 225X00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225XE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Environmental Modification | Group - Multi-Specialty |
| No | 225XE1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Ergonomics | Group - Multi-Specialty |
| No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
| No | 225XG0600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | Group - Multi-Specialty |
| No | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | Group - Multi-Specialty |
| No | 225XH1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Human Factors | Group - Multi-Specialty |
| No | 225XL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Low Vision | Group - Multi-Specialty |
| No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
| No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |
| No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
