Individual provider Active NPI

Michelle Lauren Chambers, OTR

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1003069998
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
112862 Issued in TX
Practice address
6022 S Lindbergh Blvd Ste 100
Saint Louis, MO 63123-7040
Phone
(314) 845-7751
Fax
(314) 845-7752
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 112862 TX
Occupational Therapist 225X00000X 112862 TX Primary

Addresses

Primary practice location

6022 S Lindbergh Blvd Ste 100
Saint Louis, MO 63123-7040

Mailing address

6022 S Lindbergh Blvd Ste 100
Saint Louis, MO 63123-7040
Phone (314) 845-7751

Other practice location 1

4613 Bee Caves Rd
Suite 202
West Lake Hills, TX 78746-5212
Phone (512) 306-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112862TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P.S. Kids, LLC Occupational Therapist Past Accepting new patients
Giraffe Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003069998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 S LINDBERGH BLVD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237040",
            "telephone_number": "314-845-7751",
            "fax_number": "314-845-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 S LINDBERGH BLVD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237040",
            "telephone_number": "314-845-7751",
            "fax_number": "314-845-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4613 Bee Caves Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465212",
            "country_code": "US",
            "telephone_number": "512-306-1707",
            "fax_number": "512-306-7380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MICHELLE",
        "middle_name": "LAUREN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112862",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.