Mackenzie Allie Deboer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013884 Issued in MI

Practice address

245 Barclay Cir Ste 1000
Rochester Hills, MI 48307-5813

Phone

(313) 278-4601

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dearborn Speech and Sensory Center, Inc

  • Behavior Analyst
  • Plymouth, MI
  • NPI 1033510821

  Occupational Therapist

  NPD
• Tmi East, Inc.

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1043801160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BARCLAY CIR STE 1000",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075813",
            "telephone_number": "313-278-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BARCLAY CIR STE 1000",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075813",
            "telephone_number": "313-278-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "MACKENZIE",
        "middle_name": "ALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie.butler@ivyrehab.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "8544 W Grand River Ave",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481162326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christoper Dawson
• Patrick Day, B.I.E.
• Ernestina S De Los Santos Mac, M.D.
• Florentin Deaconu
• Dearborn Physical Therapy LTD.
• David J Debono, MD
• Debra J Hibbeln and Mark a Kowal D.D.S. PLC
• Emmelyn Deconinck, DPT
• Kelly Dedenbach
• Sarah Deeb

• Occupational Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.