NPPES file of Aug 9, 2026

Annetta Hardamon, OT

Physical Rehabilitation Occupational Therapist · Southfield, MI

Annetta Hardamon, OT is a physical rehabilitation occupational therapist with a practice address in Southfield, Michigan, and NPI 1104411040, issued on Mar 3, 2021. Check the license (Michigan 5201000367, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104411040
Name
Annetta Hardamon
Credential
OT
Primary taxonomy
Physical Rehabilitation Occupational Therapist 225XP0019X
License number
5201000367 MI
Self-reported in NPPES; status is on the state search
Practice location
26776 W 12 Mile RD Ste 101, Southfield, MI 48034
Phone
(248) 450-3183
Enumerated
Mar 3, 2021
Record last updated
Mar 3, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20210401000651); accepts Medicare assignment
Medical or professional school
Wayne State University School Of Medicine, 1984
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Annetta Hardamon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 5201000367
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

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Bills Medicare through one group practice

  1. Ats Physical Therapy PLLCSouthfield, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Annetta Hardamon among 158 physical rehabilitation occupational therapist records in Michigan

Annetta Hardamon, OT is one of 158 physical rehabilitation occupational therapist records with a practice address in Michigan. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 79% of them.

  • NPI issued2021 · 79% of these records are older, 14% newer
  • In a Medicare fileYes · 8% of these records are
  • In the CMS Doctors and Clinicians fileYes · 9% of these records are
  • Graduated1984 · median 2001 among the 14 with a school on file
  • Record last updated2021 · 77% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225XP0019X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Rehabilitation Occupational Therapist providers in Michigan

There are 158 physical rehabilitation occupational therapist records in Michigan.

The 8 physical rehabilitation occupational therapist records with the nearest ZIP codes

  1. Cynthia BantomSouthfield, MI 480331588117139
  2. Debora Deren, OTRClinton Twp, MI 480351023389632
  3. Ashley Burzynski, OTRLClinton Township, MI 480381669985768
  4. Lata Nair-Brown, OTR/LFraser, MI 480261255819561
  5. Kusum Bhana, OTR/LHarrison Township, MI 480451518466630
  6. Allen Hus, OTR/LRoyal Oak, MI 480671942698923
  7. Ellen Schaefer, OTRLSouthfield, MI 480751659662302
  8. Triston EkleberryTroy, MI 480851114428737

Common questions

What is Annetta Hardamon, OT's NPI number?

Annetta Hardamon, OT's National Provider Identifier (NPI) is 1104411040, issued on Mar 3, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Annetta Hardamon, OT located?

The NPPES record lists a practice address at 26776 W 12 Mile RD Ste 101, Southfield, MI, 48034. Phone: (248) 450-3183. Providers update this record themselves, so call before visiting.

How can I verify Annetta Hardamon, OT's license?

NPPES lists Michigan license number 5201000367, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.