Individual provider Active NPI

Elizabeth Dennany

  • Occupational Therapist
  • Wyoming, MI
National Provider Identifier
1720895014
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2655 Woodlake CT SW Apt 6
Wyoming, MI 49519-4656
Phone
(517) 898-4619
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 Primary

Addresses

Primary practice location

2655 Woodlake CT SW Apt 6
Wyoming, MI 49519-4656

Mailing address

2655 Woodlake CT SW Apt 6
Wyoming, MI 49519-4656
Phone (517) 898-4619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918000324 MI Practitioner - Occupational Therapist in Private Practice 4688178197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2655 Woodlake CT SW Apt
Suite 6
Wyoming, MI 49519-4656

701 68TH St SW
Unit 250
Byron Center, MI 49315-8374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hello Pediatric Therapy LLC CurrentSince Jul 28, 2025 Accepting new patients
Mara Gosen PT, DPT LLC Past Accepting new patients

Locations

701 68th St SW
Unit 250
Byron Center, MI 49315
Phone (616) 202-1466

701 68th St SW
Byron Center, MI 49315
Phone (616) 202-1466

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1720895014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 WOODLAKE CT SW APT 6",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194656",
            "telephone_number": "517-898-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WOODLAKE CT SW APT 6",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194656",
            "telephone_number": "517-898-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNANY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.