Individual provider Active NPI

Mara Vergon, MS OTR

  • Occupational Therapist
  • Cassopolis, MI
National Provider Identifier
1144136490
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007482 Issued in MI
Practice address
61682 Dailey Rd
Cassopolis, MI 49031-9648
Phone
(269) 325-2376
NPI assigned
Aug 19, 2026
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 5201007482 MI Primary

Addresses

Primary practice location

61682 Dailey Rd
Cassopolis, MI 49031-9648

Mailing address

2629 E Elm Valley Rd
Buchanan, MI 49107-9257
Phone (269) 325-2376

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1144136490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E ELM VALLEY RD",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491079257",
            "telephone_number": "269-325-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61682 DAILEY RD",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319648",
            "telephone_number": "269-325-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGON",
        "first_name": "MARA",
        "credential": "MS OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassopolis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.