Individual provider Active NPI

Denise L Hoffman, OTR/L

  • Occupational Therapist
  • Portage, MI
National Provider Identifier
1033228614
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005647 Issued in MI
Practice address
5833 Oakland Dr
Suite 2
Portage, MI 49024-1163
Phone
(269) 330-2113
NPI assigned
Aug 29, 2006
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201005647 MI Primary

Addresses

Primary practice location

5833 Oakland Dr
Suite 2
Portage, MI 49024-1163

Mailing address

5833 Oakland Dr
Suite 2
Portage, MI 49024-1163
Phone (269) 330-2113

Other identifiers 1

IdentifierTypeStateIssuer
5201005647OtherMIOT ID #

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
5201005647MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bashor Home of the United Methodist Church, Inc Past Accepting new patients
Kalamazoo Area Rehabilitation Services PC Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1033228614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 OAKLAND DR",
            "address_2": "SUITE 2",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241163",
            "telephone_number": "269-330-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 OAKLAND DR",
            "address_2": "SUITE 2",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241163",
            "telephone_number": "269-330-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT ID #",
            "identifier": "5201005647",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.