Individual provider Active NPI

Kassi Dokey Nine, OTR

  • Occupational Therapist
  • Canton, MI
National Provider Identifier
1770115388
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008084 Issued in MI
Practice address
2852 Stanton St
Canton, MI 48188-8028
Phone
(269) 501-7577
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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 5201008084 MI Primary

Addresses

Primary practice location

2852 Stanton St
Canton, MI 48188-8028

Mailing address

2852 Stanton St
Canton, MI 48188-8028
Phone (269) 501-7577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317002683 MI Practitioner - Occupational Therapist in Private Practice 4082042445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Therapy LLCGroup PAC ID 1052694718, 6 clinicians

Practice addresses (Care Compare)

7125 Orchard Lake Rd
Suite 222
West Bloomfield, MI 48322-3616
Phone (248) 865-9418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201008084MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Feb 25, 2020 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Feb 25, 2020 Accepting new patients
Oakland Therapy LLC Occupational Therapist CurrentSince Dec 20, 2021 Accepting new patients

Locations

3451 Clarkston Rd
Lake Orion, MI 48360
Phone (734) 506-0630

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1770115388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 STANTON ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481888028",
            "telephone_number": "269-501-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 STANTON ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481888028",
            "telephone_number": "269-501-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINE",
        "first_name": "KASSI",
        "middle_name": "DOKEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.