Individual provider Active NPI

McKenna Paige Duffy-Mullins, OTR

  • Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1821675414
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201011218 Issued in MI
Practice address
505 E Alcott St
Kalamazoo, MI 49001-6144
Phone
(269) 349-2641
NPI assigned
Mar 28, 2021
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 5201011218 MI Primary

Addresses

Primary practice location

505 E Alcott St
Kalamazoo, MI 49001-6144

Mailing address

3117 Fulford St
Kalamazoo, MI 49001-4491
Phone (269) 470-7424

Other practice location 1

55432 Colby St
Dowagiac, MI 49047-8701
Phone (269) 782-7828

Other practice location 2

117 W Paterson St
Kalamazoo, MI 49007-2581
Phone (269) 349-2641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623001364 MI Practitioner - Occupational Therapist in Private Practice 2961803382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Center, Inc.Group PAC ID 1759370216, 51 clinicians

Practice addresses (Care Compare)

117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.09
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center Inc CurrentSince Jul 1, 2021 Accepting new patients
Family Health Center Inc CurrentSince Jul 1, 2021 Accepting new patients
Family Health Center, Inc. Past Accepting new patients
Family Health Center, Inc. Past Accepting new patients

Locations

117 W Paterson St
Kalamazoo, MI 49007

505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715

Organizations & group practices 4

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1821675414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 FULFORD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014491",
            "telephone_number": "269-470-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E ALCOTT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490016144",
            "telephone_number": "269-349-2641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55432 Colby St",
            "address_purpose": "LOCATION",
            "city": "Dowagiac",
            "state": "MI",
            "postal_code": "490478701",
            "country_code": "US",
            "telephone_number": "269-782-7828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 W Paterson St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490072581",
            "country_code": "US",
            "telephone_number": "269-349-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY-MULLINS",
        "first_name": "MCKENNA",
        "middle_name": "PAIGE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.