Healthcare Provider Details

I. General information

NPI: 1164332755
Provider Name (Legal Business Name): ALEXIS MIRIAM REINERT OTR/L, CLT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N PERRY ST
PONTIAC MI
48342-2215
US

IV. Provider business mailing address

1 N PERRY ST
PONTIAC MI
48342-2215
US

V. Phone/Fax

Practice location:
  • Phone: 248-338-5344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number5201009376
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: