Michael Joseph Willette, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT 9148 Issued in FL

Practice address

306 NE 3Rd St
Okeechobee, FL 34972-2949

Phone

(863) 357-4994

Fax

(863) 357-4912

NPI assigned

Jun 5, 2007

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Therapy Center of Okeechobee, Inc.

  • Occupational Therapist
  • Okeechobee, FL
  • NPI 1285830240
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1023210630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 CARIBBEAN WAY",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624252",
            "telephone_number": "561-586-2282",
            "fax_number": "863-357-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 NE 3RD ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722949",
            "telephone_number": "863-357-4994",
            "fax_number": "863-357-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT 9148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTRAN",
            "identifier": "1194450001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Dale White II, APRN
• Chanice Whitton
• Christina Wieber
• Sean Wilcox, CAC
• Jamie M Wildes, RDH
• Amanda J Williams, ARNP, FNP-BC
• Terry Oneal Williams
• Alisa S Womble, PCA
• Wonderway ABA of FL LLC
• Wonderway Wellness of FL LLC

• Specialist in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.