Individual provider Active NPI

Marjorie Kay Hockenberry, OTR

  • Occupational Therapist
  • Shelby Township, MI
National Provider Identifier
1154491033
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002052 Issued in MI
Practice address
49641 Lakebridge Dr
Shelby Township, MI 48315-3512
Phone
(586) 489-1589
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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 5201002052 MI Primary

Addresses

Primary practice location

49641 Lakebridge Dr
Shelby Township, MI 48315-3512

Mailing address

49641 Lakebridge Dr
Shelby Township, MI 48315-3512
Phone (586) 489-1589

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

State licenses

LicenseStateTypeSpecialty
5201002052MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practice Rehab, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1154491033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49641 LAKEBRIDGE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153512",
            "telephone_number": "586-489-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49641 LAKEBRIDGE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153512",
            "telephone_number": "586-489-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKENBERRY",
        "first_name": "MARJORIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.