Individual provider Active NPI

Colleen Rose Hine, OTR/L, MOT

  • Occupational Therapist
  • Mason, OH
National Provider Identifier
1548905912
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008366 Issued in OH
Practice address
5225 Cox Smith Rd
Mason, OH 45040-9276
Phone
(513) 234-5570
NPI assigned
Apr 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 OT008366 OH Primary

Addresses

Primary practice location

5225 Cox Smith Rd
Mason, OH 45040-9276

Mailing address

5394 Romance LN
Cincinnati, OH 45238-5224
Phone (513) 315-8892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625002767 OH Practitioner - Occupational Therapist in Private Practice 0941743421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
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)

6870 Clough Pike
Cincinnati, OH 45244-4161
Phone (513) 407-8866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince May 20, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince May 20, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

6870 Clough Pike
Cincinnati, OH 45244
Phone (513) 233-0831

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": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1548905912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5394 ROMANCE LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385224",
            "telephone_number": "513-315-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 COX SMITH RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409276",
            "telephone_number": "513-234-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINE",
        "first_name": "COLLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.