Ruby Ronesse Dockery- Boykin, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201014072 Issued in MI

Practice address

30801 Jefferson Ave
Saint Clair Shores, MI 48082-1732

Phone

(586) 201-7737

NPI assigned

Feb 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Berkley Kids Rehab

  • Speech-Language Pathologist
  • Oak Park, MI
  • NPI 1447093869

  MI

  Medicare reassignment
• Sensory Systems Clinic PC

  • Occupational Therapist
  • Saint Clair Shores, MI
  • NPI 1477534410
  NPD
• Crawl Walk Jump Run Therapy Clinic

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
  • NPI 1720488620
  NPD (past)
• Crawl Walk Jump Run Therapy Clinic LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1730363573
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1922547173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30801 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821732",
            "telephone_number": "586-207-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30801 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821732",
            "telephone_number": "586-201-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY- BOYKIN",
        "first_name": "RUBY",
        "middle_name": "RONESSE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201014072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew William Dine, D.V.M.
• Dipilla Dentistry of St Claire Shores, PLLC
• Diversified Dental, P.C.
• David Joseph Dobbins, DDS
• Kathleen Dobbs, FNP-BC
• Doctors Clinic P.C.
• Gina B Doen
• Doku Dental of St. Clair Shores PLLC
• Dolan Optical Company
• Victoria Leigh Dombrowski, RN, LMSW

• All providers in Saint Clair Shores, MI
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.