Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Genevieve Lee Dewitt, OTRL

Individual provider Occupational Therapist · NPI 1669975140

Genevieve Lee Dewitt, OTRL is an Occupational Therapist in Private Practice in Ann Arbor, Michigan. Qualified in 2016, 10 years ago. Practices with Diverge Community Services LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

3200 W Liberty Rd Ste F
Ann Arbor, MI 48103-9180
Phone: (734) 369-6002
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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 5201009680 (MI)

Record details

NPI number1669975140
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorYes
NPI enumeratedMarch 12, 2018
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021
Mailing address3200 W Liberty Rd, Ste F, Ann Arbor, MI 48103-9180

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Diverge Community Services Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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