Amie Dawn Detharidge, OTRL
NPI 1407115215ActiveIndividual· Occupational Therapist· Detroit, MI
Occupational Therapist (OTRL) with Psygenics Inc, practicing in Detroit, Michigan. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1407115215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTRL |
| Sole proprietor | Yes |
| NPI issued | May 14, 2012 |
| Last updated in NPPES | Jul 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 5201007935 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Psygenics IncDearborn, MI · 8 clinicians
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