Danielle Lynn Knickerbocker, OTR
Individual provider Active NPI Neurorehabilitation Occupational Therapist · East Lansing, MI
NPI 1295975613 · NPPES record last updated Feb 25, 2009
Key facts
- NPI
- 1295975613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurorehabilitation Occupational Therapist 225XN1300X
- License
- 5201005512 (MI)
- Practice address
- 2775 E Lansing Dr
East Lansing, MI 48823-7755 - Phone
- (517) 332-1616
- Fax
- (517) 336-4797
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bluesky Rehabilitation Therapies
Practice addresses (Care Compare)
3058 N State Rd
Suite E
Davison, MI 48423-3508
Phone (248) 760-8953
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120213000796 | MI | Practitioner - Occupational Therapist in Private Practice | 0547427999 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluesky Rehabilitation Therapies | Current |
Accepting new patients |
Locations
3058 N State Rd
Ste E
Davison, MI 48423
Phone (248) 760-8953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 5201005512 | MI | Yes |
Addresses
Primary practice location
2775 E Lansing Dr
East Lansing, MI 48823-7755
Mailing address
2775 East Lansing Dr.
East Lansing, MI 48823
Phone (517) 332-1616
Other providers in East Lansing, MI
- Kmkimmerly Counseling LLC
- Constance E Knaggs
- Margaret Jane Knapp
- Sarah Newman Knapp
- Jordan Knepper
- Rebecca Lynn Knieling
- Emma Kniivila-Seiss
- Christopher Frederick Kobesko I
- Hannah Lynne Koch
- Kevin J Koenigsknecht
All providers in East Lansing, MI · Neurorehabilitation Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.