Individual provider Active NPI

Cynthia Hogan

  • Occupational Therapist
  • Roseville, MI
National Provider Identifier
1013349554
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201001957 Issued in MI
Practice address
18285 E 10 Mile Rd
Suite 100
Roseville, MI 48066-5802
Phone
(586) 774-5774
Fax
(586) 774-5884
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201001957MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kovacek Peterson Management LLC Occupational Therapist Past Accepting new patients
HC Rehab Solutions LLC Occupational Therapist Past Accepting new patients
In Home Rehab,LLC Occupational Therapist PastSince Jan 1, 2003 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201001957 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

18285 E 10 Mile Rd
Suite 100
Roseville, MI 48066-5802

Mailing address

31684 Eckstein St
Warren, MI 48092-1621

Other names 1

NPPES NPI Registry
  • Cynthia Repen Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2013.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1013349554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31684 ECKSTEIN ST",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18285 E 10 MILE RD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665802",
            "telephone_number": "586-774-5774",
            "fax_number": "586-774-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "REPEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.