Individual provider Active NPI

Debra Kay McGinnis

  • Occupational Therapist
  • Northville, MI
National Provider Identifier
1326377086
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005214 Issued in MI
Practice address
41880 Rayburn Dr
Northville, MI 48168-2085
Phone
(248) 561-8827
NPI assigned
Dec 9, 2009
Reactivated
Sep 7, 2019
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 5201005214 MI Primary

Addresses

Primary practice location

41880 Rayburn Dr
Northville, MI 48168-2085

Mailing address

41880 Rayburn Dr
Northville, MI 48168-2085
Phone (248) 561-8827

Other practice location 1

19701 Vernier Rd
suite 280
Harper Woods, MI 48225-1467
Phone (313) 884-8920

Other names 1

  • Debra Kay McGinnis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200219001592 MI Practitioner - Occupational Therapist in Private Practice 5496182149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Rehab,LLC Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1326377086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41880 RAYBURN DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481682085",
            "telephone_number": "248-561-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41880 RAYBURN DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481682085",
            "telephone_number": "248-561-8827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19701 Vernier Rd",
            "address_2": "suite 280",
            "address_purpose": "LOCATION",
            "city": "Harper Woods",
            "state": "MI",
            "postal_code": "482251467",
            "country_code": "US",
            "telephone_number": "313-884-8920",
            "fax_number": "313-884-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "deactivation_date": "2015-08-24",
        "reactivation_date": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MCGINNIS",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.