CONNOR VINCKE
NPI 1659099067
Occupational Therapist in Traverse City, MI

Active since August 22, 2022Accepts Medicare Assignment
9715 E CHERRY BEND RD, TRAVERSE CITY, MI 49684(231) 932-9060 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Connor Vincke NPPES

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

CONNOR VINCKE (NPI 1659099067) is an individual occupational therapist in Traverse City, Michigan and active in the NPI registry since August 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1659099067
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameCONNOR VINCKE
Location Address9715 E CHERRY BEND RDTraverse City, MI 49684-7621
Mailing Address9715 E Cherry Bend RdTraverse City, MI 49684-7621
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 21, 2022
✔ NPI 1659099067 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
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.
9715 E CHERRY BEND RD, Traverse City, MI 49684

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

Connor Vincke 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 ID8527439751
PECOS Enrollment IDI20230125001773

Medicare Billing Reassignment

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

Physical Therapist
46471 HAYES RD
Shelby Township, MI 48315
  • Reassigned Medicare billing, Michigan enrollment
  • 164 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

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

Physical Therapist
9715 E CHERRY BEND RD
TRAVERSE CITY, MI 49684

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 Connor Vincke's NPI number?

The NPI number for Connor Vincke is 1659099067. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Connor Vincke located?

Connor Vincke practices at 9715 E Cherry Bend Rd, Traverse City, MI 49684. The listed phone number is (231) 932-9060.

What is Connor Vincke's specialty?

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

Is Connor Vincke enrolled in Medicare?

Yes. Connor Vincke 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 Connor Vincke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Vincke reassigns Medicare benefits to Powerback Rehabilitation LLC (Shelby Township, 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 Connor Vincke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connor Vincke was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.