Individual provider Active NPI

Deborah A Windell, OTRL

  • Occupational Therapist
  • Hart, MI
National Provider Identifier
1316010010
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201006317 Issued in MI
Practice address
601 E Main St
Hart, MI 49420-1144
Phone
(231) 873-3577
Fax
(231) 873-3557
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 5201006317 MI Primary

Addresses

Primary practice location

601 E Main St
Hart, MI 49420-1144

Mailing address

601 E Main St
Hart, MI 49420-1144
Phone (231) 873-3577

Other identifiers 1

IdentifierTypeStateIssuer
4528286MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001347 MI Practitioner - Occupational Therapist in Private Practice 5799681961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians
Lakeside Comprehensive Rehabilitation Inc.Group PAC ID 3274439443, 2 clinicians

Practice addresses (Care Compare)

400 Rounds Dr
Fenton, MI 48430-1724
Phone (810) 750-1996

601 E Main St
Hart, MI 49420-1144
Phone (231) 873-3577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Comprehensive Rehabilitation Inc. CurrentSince Aug 4, 2003 Accepting new patients
Ivyrehab Michigan, LLC Occupational Therapist CurrentSince Jun 20, 2025 Accepting new patients

Locations

400 Rounds Dr
Fenton, MI 48430
Phone (810) 629-0530

601 E Main St
Hart, MI 49420
Phone (231) 873-3557

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

Organizations & group practices 2

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316010010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577",
            "fax_number": "231-873-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577",
            "fax_number": "231-873-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDELL",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4528286",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hart, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.