Active NPI
Kathleen Sue Hill, OTRL
- Physical Rehabilitation Occupational Therapist
- East Jordan, MI
National Provider Identifier
1255835815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 5201000298
- Practice address
- 1728 S Peninsula Rd
East Jordan, MI 49727-9410 - Phone
- (231) 535-2286
- Fax
- (231) 536-2476
- NPI assigned
- Mar 20, 2018
- Last updated
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 5201000298 | MI | Primary |
Addresses
Primary practice location
1728 S Peninsula Rd
East Jordan, MI 49727-9410
Mailing address
565 N Advance Rd
East Jordan, MI 49727-8615
Phone (586) 668-0096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201000298 | Other | MI | OTR MICHIGAN STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201000298 | MI | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1255835815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 N ADVANCE RD",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497278615",
"telephone_number": "586-668-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 S PENINSULA RD",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497279410",
"telephone_number": "231-535-2286",
"fax_number": "231-536-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "KATHLEEN",
"middle_name": "SUE",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MI",
"license": "5201000298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTR MICHIGAN STATE LICENSE",
"identifier": "5201000298",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Jordan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.