Individual provider Active NPI

Chrisann Ginnebaugh

  • Occupational Therapist
  • Battle Creek, MI
National Provider Identifier
1801362397
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007625 Issued in MI
Practice address
165 Washington Ave N
Battle Creek, MI 49037-2929
Phone
(269) 245-3676
NPI assigned
Oct 23, 2018
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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 5201007625 MI Primary

Addresses

Primary practice location

165 Washington Ave N
Battle Creek, MI 49037-2929

Mailing address

3715 Madison St
Kalamazoo, MI 49008-2620
Phone (269) 823-4955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512001892 MI Practitioner - Occupational Therapist in Private Practice 3072030196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Practice addresses (Care Compare)

16351 Rotunda Dr
Dearborn, MI 48120-1170
Phone (810) 701-4633

851 Penniman Ave
Plymouth, MI 48170-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi East, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

1725 Port Sheldon St
Jenison, MI 49428
Phone (616) 667-1725

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

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, 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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1801362397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MADISON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082620",
            "telephone_number": "269-823-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WASHINGTON AVE N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372929",
            "telephone_number": "269-245-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINNEBAUGH",
        "first_name": "CHRISANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.