NPIMap

Individual provider Active NPI

Joann Kochevar Delisle, OTR,CHT

  • Hand Occupational Therapist
  • Flat Rock, MI
National Provider Identifier
1336212901
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
5201000758 Issued in MI
Practice address
26336 E. Huron River Dr.
Flat Rock, MI 48134-1833
Phone
(734) 789-8281
Fax
(734) 789-8258
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 5201000758 MI Primary

Addresses

Primary practice location

26336 E. Huron River Dr.
Flat Rock, MI 48134-1833

Mailing address

26336 E. Huron River Dr.
Suite a
Flat Rock, MI 48134-1833
Phone (734) 789-8281

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Resources Inc Past Accepting new patients
Fitwell Physical Therapy Inc Hand 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1336212901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26336 E. HURON RIVER DR.",
            "address_2": "SUITE A",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341833",
            "telephone_number": "734-789-8281",
            "fax_number": "734-789-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26336 E. HURON RIVER DR.",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341833",
            "telephone_number": "734-789-8281",
            "fax_number": "734-789-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "JOANN",
        "middle_name": "KOCHEVAR",
        "name_prefix": "Ms.",
        "credential": "OTR,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201000758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.