Active NPI
Lori Ann Hyde, O.T.
- Occupational Therapist
- Clinton Township, MI
National Provider Identifier
1790926129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201003121
- Practice address
- 35746 Harper Ave
Clinton Township, MI 48035-3212 - Phone
- (586) 791-9203
- NPI assigned
- Mar 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201003121 | MI | Primary |
Addresses
Primary practice location
35746 Harper Ave
Clinton Township, MI 48035-3212
Mailing address
22524 Trombly St
St CLR Shores, MI 48080-2886
Phone (586) 778-3649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5700 Water Tower PL
Clarkston, MI 48346-2668
Phone (248) 278-8937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regain Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
5700 Water Tower Pl
Clarkston, MI 48346
Phone (248) 213-8474
1725 Chester Rd
Royal Oak, MI 48073
Phone (248) 278-8937
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": "1236988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236988800000",
"number": "1790926129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22524 TROMBLY ST",
"city": "ST CLR SHORES",
"state": "MI",
"postal_code": "480802886",
"telephone_number": "586-778-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35746 HARPER AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353212",
"telephone_number": "586-791-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-14",
"last_updated": "2009-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201003121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.