LUKE BRUBAKER (MS,OTRL) – Occupational Therapist, NPI 1164009403

LUKE BRUBAKER (MS,OTRL) is a healthcare provider. based in New hudson, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS,OTRL. They hold a License No. 5201010972 (MI). The NPI Number for LUKE BRUBAKER (MS,OTRL) is 1164009403

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
LUKE BRUBAKER (MS,OTRL)
NPI
1164009403
Phone
(419) 605-5043
Address
31048 DORCHESTER APT 165
Enumeration Date
24 March 2021
Last Update Date
24 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194104341
Graduation Year
2019 (7 years ago)
PAC ID
0042614810
Group Practice PAC ID
0042588709
Professional Enrollment ID
I20240619001489
Address ID
OH436233471TO5164XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for LUKE BRUBAKER (MS,OTRL)

  • 31048 DORCHESTER APT 165

    NEW HUDSON, MI 481659442

    Phone: (419) 605-5043

    Type: Mailing

  • 7200 CHALLIS RD

    BRIGHTON, MI 481167411

    Phone: (810) 227-0119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240619001489IOccupational Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48165)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042588709View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOH
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is LUKE BRUBAKER (MS,OTRL)'s NPI number?
LUKE BRUBAKER (MS,OTRL)'s NPI is 1164009403 — the number used across U.S. healthcare to identify this provider.
Is LUKE BRUBAKER (MS,OTRL) shown as active in public data?
Registry records indicate LUKE BRUBAKER (MS,OTRL) maintains an active NPI.
How would a patient describe LUKE BRUBAKER (MS,OTRL)'s focus?
For LUKE BRUBAKER (MS,OTRL), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is LUKE BRUBAKER (MS,OTRL) associated with New Hudson?
Public fields place LUKE BRUBAKER (MS,OTRL) around New Hudson, Michigan. Always confirm the exact site before visiting.
Does LUKE BRUBAKER (MS,OTRL) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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