Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Gardner

Individual provider Occupational Therapist · NPI 1194136333

Susan Gardner is an Occupational Therapist in Private Practice in Lansing, Michigan. Qualified in 2003, 23 years ago. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

2100 E Provincial House Dr
Lansing, MI 48910-4884
Phone: (517) 272-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201006464 (MI)

Record details

NPI number1194136333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2014
Last updated in NPPESMay 9, 2014
Mailing address2100 E Provincial House Dr, Lansing, MI 48910-4884

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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