Maria Margaret Dobbertien, MSOTRL, LMT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201008308 Issued in MI

Practice address

777 Goguac St W Ste B2
Battle Creek, MI 49015-2097

Phone

(269) 223-7786

NPI assigned

Dec 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Functional Kids Therapy Center LLC

  dba Functional Kids

  • Pediatric Occupational Therapist
  • Springfield, MI
  • NPI 1578951380

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1093103020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E HALBERT RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49017",
            "telephone_number": "269-832-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GOGUAC ST W STE B2",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152097",
            "telephone_number": "269-223-7786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 E Halbert Rd",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "49017",
            "country_code": "US",
            "telephone_number": "269-832-8224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9809 Cherry Valley Ave SE Ste D",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "493169592",
            "country_code": "US",
            "telephone_number": "269-223-7786",
            "fax_number": "866-830-0748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 N Grand St Ste A",
            "address_purpose": "LOCATION",
            "city": "Schoolcraft",
            "state": "MI",
            "postal_code": "490878466",
            "country_code": "US",
            "telephone_number": "269-223-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBBERTIEN",
        "first_name": "MARIA",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "MSOTRL, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008308",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "MI",
            "license": "5201008308",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201008308",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201008308",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201008308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Dilley, MSN, FNP-C
• Carli Dillon
• John Frederick Dilworth, L.L.P.
• Lynn Marie Dimartino, O.D.
• Savannah Dixon
• Troy Robert Dockery, RPH
• Doctors Group PC (Historic Northside Family Practice)
• Samantha Dodge
• John S Dolbee, M.D.
• Kristen Dolohanty

• Pediatric Occupational Therapist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.