Catherine Ann Ebbert, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201001469 Issued in MI

Practice address

10400 Hamburg Rd
Hamburg, MI 48139-1204

Phone

(810) 231-9042

Fax

(810) 231-9063

NPI assigned

Apr 8, 2019

Last updated

Apr 8, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Occupational Therapy Services, Inc.

  dba JUMP-IN Professional Services

  • Physical Rehabilitation Occupational Therapist
  • Hamburg, MI
  • NPI 1467459826
  NPD (past)

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1942763883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390205",
            "telephone_number": "810-231-9042",
            "fax_number": "810-231-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 HAMBURG RD",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481391204",
            "telephone_number": "810-231-9042",
            "fax_number": "810-231-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Jackson Rd Unit 689",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481039679",
            "country_code": "US",
            "telephone_number": "734-223-7948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBBERT",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather D'Agosta, DPT
• Maria Da Cruz
• Victoria Lee Dawson, LMSW
• Cynthia Catherine Dematteis, ATC
• Rodney L Dewyer, MD
• Laura B Hagan, OT
• Danelle Hale, DPT
• Elizabeth Anne Howell, PT
• Iha Health Services Corporation (IHA Hamburg Primary Care)
• Alyssa Kelsey, PT

• Occupational Therapist in Hamburg, MI
• Providers in Hamburg, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.