Active NPI
Rachelle Connon, OTR/L
- Hand Occupational Therapist
- Marquette, MI
National Provider Identifier
1265865000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 5201005253
- Practice address
- 580 W College Ave
Marquette, MI 49855 - Phone
- (906) 228-9440
- Fax
- (906) 225-3800
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 5201005253 | MI | Primary |
Addresses
Primary practice location
580 W College Ave
Marquette, MI 49855
Mailing address
555 County Road HQ
Marquette, MI 49855
Phone (906) 225-5570
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 |
|---|---|---|---|
| 5201005253 | MI | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1265865000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 COUNTY ROAD HQ",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-5570",
"fax_number": "906-225-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-228-9440",
"fax_number": "906-225-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNON",
"first_name": "RACHELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MI",
"license": "5201005253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.