Active NPI
Cynthia Hogan
- Occupational Therapist
- Roseville, MI
National Provider Identifier
1013349554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201001957
- 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.
-
- Occupational Therapist
- Plymouth, MI
- NPI 1417995986
-
- Physical Therapist
- Frankenmuth, MI
- NPI 1598771339
Occupational Therapist
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201001957 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001957 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.