Individual provider Active NPI

Kathleen Sue Hill, OTRL

  • Physical Rehabilitation Occupational Therapist
  • East Jordan, MI
National Provider Identifier
1255835815
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
5201000298 Issued in MI
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5201000298OtherMIOTR 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

LicenseStateTypeSpecialty
5201000298MIMDPhysical 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.

Verify at the official NPI Registry.