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MRS. ANNETTA HARDAMON OT
NPI 1104411040
Occupational Therapist - Physical Rehabilitation in Southfield, MI

Active since March 03, 2021Accepts Medicare Assignment
26776 W 12 MILE RD STE 101, SOUTHFIELD, MI 48034(248) 450-3183 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Annetta Hardamon Ot NPPES

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

MRS. ANNETTA HARDAMON OT (NPI 1104411040) is an individual physical rehabilitation provider in Southfield, Michigan, licensed in Michigan (5201000367) and active in the NPI registry since March 2021. She is a graduate of Wayne State University School Of Medicine (1984).

NPPES Registry Identity

NPI1104411040
Entity TypeIndividualFemale
Primary Taxonomy225XP0019X
Provider Legal NameMRS. ANNETTA HARDAMONCredential: OT
Location Address26776 W 12 MILE RD STE 101Southfield, MI 48034-7807
Mailing Address26776 W 12 Mile Rd Ste 101Southfield, MI 48034-7807 · (248) 450-3183
Phone(248) 450-3183
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1984
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1104411040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · Physical RehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0019X
License✔ Licensed in MI · 5201000367
Definition
Occupational therapists are experts at helping people lead as independent a life as possible. Occupational therapists bring an understanding of the physical and psychological implications of illness and injury and their effects on peoples' ability to perform the tasks of daily living. Occupational therapists provide interventions that can aide a person in completing ADL and IADL tasks, such as dressing, bathing, preparing meals, and driving. They also may fabricate custom orthotics to improve function, evaluate the environment for safety hazards and recommend adaptations to remove those hazards, help a person compensate for cognitive changes, and build a persons' physical endurance and strength. Occupational therapists' knowledge of adapting tasks and modifying the environment to compensate for functional limitations is used to increase the involvement of clients and to promote safety and success.
26776 W 12 MILE RD STE 101, Southfield, MI 48034
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Annetta Hardamon 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 ID6305253725
PECOS Enrollment IDI20210401000651

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
785 services19 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
295 services19 patients
Evaluation for occupational therapy, typically 45 minutes 97166
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ATS PHYSICAL THERAPY PLLC
Physical Therapist
26776 W 12 MILE RD STE 101
SOUTHFIELD, MI 48034
Oakland County (248) 450-3183

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 Annetta Hardamon's NPI number?

The NPI number for Annetta Hardamon is 1104411040. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Annetta Hardamon located?

Annetta Hardamon practices at 26776 W 12 Mile Rd Ste 101, Southfield, MI 48034. The listed phone number is (248) 450-3183.

What is Annetta Hardamon's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Physical Rehabilitation, with taxonomy code 225XP0019X.

Is Annetta Hardamon enrolled in Medicare?

Yes. Annetta Hardamon 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.

When was this NPI record last updated?

The NPPES record for Annetta Hardamon was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.