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

Mrs. Annetta Hardamon, OT

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1104411040

Mrs. Annetta Hardamon, OT is an Occupational Therapist in Private Practice in Southfield, Michigan. Graduated from Wayne State University School of Medicine in 1984, 42 years ago. Practices with Ats Physical Therapy PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
42
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2021
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

26776 W 12 Mile Rd Ste 101
Southfield, MI 48034-7807
Phone: (248) 450-3183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 5201000367 (MI)

Record details

NPI number1104411040
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address26776 W 12 Mile Rd Ste 101, Southfield, MI 48034-7807

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Ats Physical Therapy Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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