Individual provider Active NPI

Cheryl L. Natzke, OTR

  • Occupational Therapist
  • East Lansing, MI
National Provider Identifier
1609024553
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201001651 Issued in MI
Practice address
2775 E Lansing Dr
East Lansing, MI 48823-7755
Phone
(517) 332-1616
Fax
(517) 336-4797
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201001651 MI Primary
Neurorehabilitation Occupational Therapist 225XN1300X 5201001651 MI

Addresses

Primary practice location

2775 E Lansing Dr
East Lansing, MI 48823-7755

Mailing address

2775 E Lansing Dr
East Lansing, MI 48823-7755
Phone (517) 332-1616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000445 MI Practitioner - Occupational Therapist in Private Practice 9234296963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1609024553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237755",
            "telephone_number": "517-332-1616",
            "fax_number": "517-336-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237755",
            "telephone_number": "517-332-1616",
            "fax_number": "517-336-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATZKE",
        "first_name": "CHERYL",
        "middle_name": "L.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001651",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201001651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.