MS. FIONA SONG – Occupational Therapist, NPI 1164169629

MS. FIONA SONG is a healthcare provider. based in Portage, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5201012893 (MI). The NPI Number for MS. FIONA SONG is 1164169629

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. FIONA SONG
NPI
1164169629
Phone
Not provided
Address
7738 OAKLAND DR
Enumeration Date
17 May 2022
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694596212
Graduation Year
2021 (5 years ago)
PAC ID
2961849856
Group Practice PAC ID
9830324482
Professional Enrollment ID
I20240327002985
Address ID
MI490241232PO1908XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MS. FIONA SONG

  • 7738 OAKLAND DR

    PORTAGE, MI 490244932

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240327002985IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830324482View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What unique ID ties claims to MS. FIONA SONG?
NPI 1164169629 is assigned to MS. FIONA SONG under the national enumeration system.
Does this profile mean MS. FIONA SONG is currently active?
Yes — MS. FIONA SONG appears active in the national provider directory.
Can you summarize MS. FIONA SONG's specialty in plain language?
Clinically, the directory lists MS. FIONA SONG with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MS. FIONA SONG?
We surface Portage, Michigan for MS. FIONA SONG based on available NPPES addresses.
Is MS. FIONA SONG a real provider?
This page reflects official NPPES data for NPI 1164169629. Always confirm identity and privileges with the practice and licensing boards.

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