Genevieve Lee Dewitt, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009680 Issued in MI

Practice address

3200 W Liberty Rd Ste F
Ann Arbor, MI 48103-9180

Phone

(734) 369-6002

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diverge Community Services LLCGroup PAC ID 1254872682, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Diverge Community Services, LLC

  • Occupational Therapist
  • Flat Rock, MI
  • NPI 1174230270
  Medicare reassignment Care Compare group
• Aa Therapy Works, LLC

  • Speech-Language Pathologist
  • Ann Arbor, MI
  • NPI 1144608456
  Medicare reassignment
• Neurospace LLC

  • Occupational Therapist
  • Saline, MI
  • NPI 1134088537
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1669975140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD",
            "address_2": "STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039180",
            "telephone_number": "734-936-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039180",
            "telephone_number": "734-369-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "GENEVIEVE",
        "middle_name": "LEE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenbagam Dewar, MD
• Katherine Jennifer Deweert, MD
• Krista Anne Deweese, MSW
• Andrea Jane Dewey, LMSW
• Christin Clarice Dewit
• Jaimie Dewitt, LPN
• Rachel Davis Dewitt, PA-C
• Dexter Pharmacy Inc
• Dexter Pharmacy Inc
• Dexter Psychological Services PLLC

• Occupational Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.