CLAIRE THERESE BRONNER (OTR) – Occupational Therapist, NPI 1194591958

CLAIRE THERESE BRONNER (OTR) is a healthcare provider. based in Plymouth, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 5201014204 (MI). The NPI Number for CLAIRE THERESE BRONNER (OTR) is 1194591958

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CLAIRE THERESE BRONNER (OTR)
NPI
1194591958
Phone
(734) 462-3240
Address
9368 N LILLEY RD
Enumeration Date
1 December 2023
Last Update Date
23 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344623240
Graduation Year
2022 (4 years ago)
PAC ID
5991141715
Group Practice PAC ID
3870488521
Professional Enrollment ID
I20250709004102
Address ID
MI481541848LI37250RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:2State licenses:2Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for CLAIRE THERESE BRONNER (OTR)

  • 9368 N LILLEY RD

    PLYMOUTH, MI 481704610

    Phone: (734) 462-3240

    Fax: (734) 462-3831

    Type: Mailing

  • 37250 5 MILE RD UNIT D-1

    LIVONIA, MI 481541848

    Phone: (734) 462-3240

    Fax: (734) 462-3831

    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: 2025-07-09

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
I20250709004102IOccupational Therapist In Private PracticeMITBD

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 48170)

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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: 3870488521View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

Where can patients find CLAIRE THERESE BRONNER (OTR)'s NPI?
You can confirm CLAIRE THERESE BRONNER (OTR) with NPI 1194591958; it appears in the national provider directory.
Is CLAIRE THERESE BRONNER (OTR) active in the national directory?
CLAIRE THERESE BRONNER (OTR)'s public NPI profile is in an active state.
Does CLAIRE THERESE BRONNER (OTR) list a primary specialty?
If you are matching referrals, note Occupational Therapist for CLAIRE THERESE BRONNER (OTR). Clinical services aligned with this taxonomy classification.
Where is CLAIRE THERESE BRONNER (OTR)'s primary listing?
We display Plymouth, Michigan because that is what the record indicates for CLAIRE THERESE BRONNER (OTR).
How can I contact CLAIRE THERESE BRONNER (OTR)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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