KASSI DOKEY NINE (OTR) – Occupational Therapist, NPI 1770115388

KASSI DOKEY NINE (OTR) is a healthcare provider. based in Canton, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 5201008084 (MI). The NPI Number for KASSI DOKEY NINE (OTR) is 1770115388

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KASSI DOKEY NINE (OTR)
NPI
1770115388
Phone
(269) 501-7577
Address
2852 STANTON ST
Enumeration Date
11 February 2020
Last Update Date
11 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488659418
Graduation Year
2011 (15 years ago)
PAC ID
4082042445
Group Practice PAC ID
1052694718
Professional Enrollment ID
I20200317002683
Address ID
MI483223616WE7125XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KASSI DOKEY NINE (OTR)

  • 2852 STANTON ST

    CANTON, MI 481888028

    Phone: (269) 501-7577

    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: 2020-03-17

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
I20200317002683IOccupational 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 48188)

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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: 1052694718View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-NY
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Does KASSI DOKEY NINE (OTR) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KASSI DOKEY NINE (OTR) uses 1770115388.
Does CMS list KASSI DOKEY NINE (OTR) as active?
Yes — KASSI DOKEY NINE (OTR) is active in the NPI listing used on this page.
What is KASSI DOKEY NINE (OTR)'s primary classification?
Occupational Therapist is the headline specialty for KASSI DOKEY NINE (OTR) here. Clinical services aligned with this taxonomy classification.
Where is KASSI DOKEY NINE (OTR) based?
KASSI DOKEY NINE (OTR) is tied to Canton, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about KASSI DOKEY NINE (OTR) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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