Amy Jessica Dobine, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009761 Issued in MI

Practice address

42450 Hayes Rd Ste 3a
Clinton Township, MI 48038-6769

Phone

(248) 629-4600

NPI assigned

Nov 14, 2018

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amy Jessica Divirgilio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifelab Kids Foundation

  • Behavior Analyst
  • Ferndale, MI
  • NPI 1992286306
  NPD
• Quality Care Rehabilitation Professionals

  • Occupational Therapist
  • Shelby Township, MI
  • NPI 1437718830
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1861961351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 HILTON RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201059",
            "telephone_number": "248-629-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 HAYES RD STE 3A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386769",
            "telephone_number": "248-629-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3178 Hilton Rd",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482201059",
            "country_code": "US",
            "telephone_number": "248-629-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBINE",
        "first_name": "AMY",
        "middle_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DIVIRGILIO",
            "middle_name": "JESSICA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Marie Dixon, CHW
• Stephanie Brionna Dixon, LMSW
• Valentina Djelaj, MSW
• DKB Drugs, Inc. (St George HM Pharmacy)
• Thaddeus P Dobek, R.PH.
• John Anthony Dobry, D.D.S.
• Jordan Dobson
• Shana Dodgson, MS CCC-SLP
• Weyni Mina Doggett, LMSW
• Jocelyn Dokulil-Kapp

• Occupational Therapist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.