Individual provider Active NPI

Maria Da Cruz

  • Occupational Therapist
  • Hamburg, MI
National Provider Identifier
1417315003
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007947 Issued in MI
Practice address
10400 Hamburg Rd
Hamburg, MI 48139-1204
Phone
(810) 231-9042
NPI assigned
Feb 10, 2016
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 5201007947 MI Primary

Addresses

Primary practice location

10400 Hamburg Rd
Hamburg, MI 48139-1204

Mailing address

10400 Hamburg Rd
Hamburg, MI 48139-1204
Phone (810) 231-9042

Other names 1

  • Maria Clary Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827001404 MI Practitioner - Occupational Therapist in Private Practice 5799286332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1901 Plymouth Rd
Ann Arbor, MI 48105-2277
Phone (734) 369-3569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201007947MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Aug 18, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Aug 18, 2025 Accepting new patients
Occupational Therapy Services, Inc. PastSince Jan 1, 2012 Accepting new patients

Locations

1901 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 508-4569

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 3

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1417315003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 HAMBURG RD",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481391204",
            "telephone_number": "810-231-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 HAMBURG RD",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481391204",
            "telephone_number": "810-231-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA CRUZ",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CLARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.