RUBY RONESSE DOCKERY- BOYKIN OTD
NPI 1922547173
Occupational Therapist - Pediatrics in Saint Clair Shores, MI

Active since February 21, 2017
30801 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082(586) 201-7737 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2024, Feb 21, 2017 (2 updates tracked since 2017).

About Ruby Ronesse Dockery- Boykin Otd NPPES

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

RUBY RONESSE DOCKERY- BOYKIN OTD (NPI 1922547173) is an individual pediatrics provider in Saint Clair Shores, Michigan, licensed in Michigan (5201014072) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1922547173
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameRUBY RONESSE DOCKERY- BOYKINCredential: OTD
Location Address30801 JEFFERSON AVESaint Clair Shores, MI 48082-1732
Mailing Address30801 Jefferson AveSaint Clair Shores, MI 48082-1732 · (586) 207-7379
Sole ProprietorNo
Enumeration DateFebruary 21, 2017
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1922547173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License✔ Licensed in MI · 5201014072
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
30801 JEFFERSON AVE, Saint Clair Shores, MI 48082

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruby Ronesse Dockery- Boykin Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ruby Dockery- Boykin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
25595 COOLIDGE HWY
Oak Park, MI 48237
  • Reassigned Medicare billing, Michigan enrollment
  • 4 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 15

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

Occupational Therapist (Pediatrics)
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082
Occupational Therapist
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082
Occupational Therapist
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082
Occupational Therapist
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082
Occupational Therapist (Pediatrics)
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082
Occupational Therapist
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082
Occupational Therapist
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082
Occupational Therapist
30801 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082

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 Ruby Dockery- Boykin's NPI number?

The NPI number for Ruby Dockery- Boykin is 1922547173. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Ruby Dockery- Boykin located?

Ruby Dockery- Boykin practices at 30801 Jefferson Ave, Saint Clair Shores, MI 48082. The listed phone number is (586) 201-7737.

What is Ruby Dockery- Boykin's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

Is Ruby Dockery- Boykin enrolled in Medicare?

Yes. Ruby Dockery- Boykin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ruby Dockery- Boykin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Dockery- Boykin reassigns Medicare benefits to Berkley Kids Rehab (Oak Park, 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 Ruby Dockery- Boykin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruby Dockery- Boykin accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ruby Dockery- Boykin 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 Ruby Dockery- Boykin was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.