EVANGELINE MADISON MCKENZIE OT
NPI 1063223808
Occupational Therapist in Canton, MI

Active since January 20, 2025Accepts Medicare Assignment
5969 N CANTON CENTER RD, CANTON, MI 48187(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Evangeline Madison Mckenzie Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANGELINE MADISON MCKENZIE OT (NPI 1063223808) is an individual occupational therapist in Canton, Michigan, licensed in Michigan (5201013820) and active in the NPI registry since January 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1063223808
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameEVANGELINE MADISON MCKENZIECredential: OT
Location Address5969 N CANTON CENTER RDCanton, MI 48187-2757
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Fax(877) 407-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1063223808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MI · 5201013820
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
5969 N CANTON CENTER RD, Canton, MI 48187

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evangeline Madison Mckenzie Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143759118
PECOS Enrollment IDI20250121003613

Medicare Billing Reassignment

Medicare enrollment records show Evangeline Mckenzie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
5969 N CANTON CENTER RD
Canton, MI 48187
  • Reassigned Medicare billing, Michigan enrollment
  • 116 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187
Occupational Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187
Occupational Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187
Occupational Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187
Physical Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187
Occupational Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187
Occupational Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187
Occupational Therapist
5969 N CANTON CENTER RD
CANTON, MI 48187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evangeline Mckenzie's NPI number?

The NPI number for Evangeline Mckenzie is 1063223808. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Evangeline Mckenzie located?

Evangeline Mckenzie practices at 5969 N Canton Center Rd, Canton, MI 48187. The listed phone number is (877) 407-3422.

What is Evangeline Mckenzie's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Evangeline Mckenzie enrolled in Medicare?

Yes. Evangeline Mckenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Evangeline Mckenzie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evangeline Mckenzie reassigns Medicare benefits to Fox Rehabilitation Services Mi LLC (Canton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evangeline Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evangeline Mckenzie accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Evangeline Mckenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evangeline Mckenzie was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.