Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evangeline Madison McKenzie, OT

Individual provider Occupational Therapist · NPI 1063223808

Evangeline Madison McKenzie, OT is an Occupational Therapist in Private Practice in Canton, Michigan. Qualified in 2023, 3 years ago. Practices with Fox Rehabilitation Services Mi LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2025
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

5969 N Canton Center Rd
Canton, MI 48187-2757
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201013820 (MI)

Record details

NPI number1063223808
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fox Rehabilitation Services Mi Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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