MRS. AMY DUBEY (OTR) – Neurorehabilitation Occupational Therapist, NPI 1417188517

MRS. AMY DUBEY (OTR) is a healthcare provider. based in Petoskey, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 5201005376 (MI). The NPI Number for MRS. AMY DUBEY (OTR) is 1417188517

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY DUBEY (OTR)
NPI
1417188517
Phone
(231) 874-0080
Address
2780 CHARLEVOIX RD STE 15
Enumeration Date
6 August 2009
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2314870080
Graduation Year
2000 (26 years ago)
PAC ID
6204876246
Group Practice PAC ID
6406896448
Professional Enrollment ID
I20050509000934
Address ID
MI497708676PE347XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MRS. AMY DUBEY (OTR)

  • 2780 CHARLEVOIX RD STE 15

    PETOSKEY, MI 497708058

    Phone: (231) 874-0080

    Fax: (231) 373-5459

    Type: Location

  • 347 CREEKSIDE DR

    PETOSKEY, MI 497708676

    Phone: (231) 874-0080

    Fax: (231) 373-5459

    Type: Mailing

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: 2005-05-09

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
I20050509000934IOccupational 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 49770)

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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: 6406896448View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Qualified Speech Language PathologistMI
-MI
-MI
Qualified Speech Language PathologistKY
-MI

Reviews

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Frequently asked questions

What number should I use to identify MRS. AMY DUBEY (OTR) for billing?
Administrative and clinical systems typically use NPI 1417188517 for MRS. AMY DUBEY (OTR).
Is MRS. AMY DUBEY (OTR)'s NPI status active today?
Active status means MRS. AMY DUBEY (OTR)'s NPI record is not deactivated in the public file.
What services align with MRS. AMY DUBEY (OTR)'s listing?
MRS. AMY DUBEY (OTR)'s public classification highlights Neurorehabilitation Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. AMY DUBEY (OTR)?
MRS. AMY DUBEY (OTR) shows a connection to Petoskey, Michigan in registry-derived data.
Who maintains MRS. AMY DUBEY (OTR)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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